CT、MRI联合应用对胆石性肠梗阻的诊断价值

Diagnosis Valuation of Gallstone Ileus with CT and MRI Joint Application

目的:对CT、MRI检查在胆石性肠梗阻中的诊断价值进行分析、探讨。材料与方法:选取我院30例被确诊为胆石性肠梗阻的患者,分析其临床表现以及相关的影像学材料。结果:经过分析、研究,30例患者均有典型肠梗阻特征。通过CT检查,所有患者肠腔内存在结石,23例胆囊、胆管中积气,5例胆囊十二指肠痿口清晰可见,2例未显示胆囊、胆管积气,胆囊十二指肠痿口不可见。通过MRI检查,30例患者痿口均可见。结论:CT在检查胆石性肠梗阻患者时,操作简单方便,具有一定的诊断价值。MRI检查胆石性肠梗阻患者时,更够准确发现十二指肠痿口的位置,从而帮助医师制定更加合理的方案。

Purpose： to analyze the diagnostic value of CT and MRI in the diagnosis of biliary obstruction. Materials and Methods： 30 cases of patients with gallstone obstruction in our hospital were selected, and their clinical features and ima- ging materials were analyzed. Results： after analysis and study, 30 patients had typical characteristics of intestinal obstruc- tion. By CT examination, all patients with intraluminal calculi, 23 cases of gallbladder, biliary pneumatosis, 5 cases with cho- lecystoduodenal fistula is clearly visible, 2 cases did not show gallbladder, biliary pneumatosis, cholecystoduodenal fistula mouth is not visible. Through the MRI examination, 30 cases of patients with fistula were found. Conclusion： CT is a simple and convenient diagnostic value in the examination of patients with gallstone obstruction. MRI examination of gallstone ileus patients, more enough accurate found duodenal fistula location, to help doctors plan to develop a more reasonable.