选择性小肠造影对肠梗阻诊断影像学的价值

The Value of Selective Small Bowel Imaging for Intestinal Obstruction Diagnostic Imaging

目的分析对肠梗阻患者采用选择性小肠造影的影像学价值。方法选取我院2016年2月至2017年2月收治的肠梗阻患者52例,均采用选择性小肠造影,探讨其诊断价值。结果 52例患者置管成功率为100%,置入空肠时间为(13.1±2.7)min。选择性小肠造影中57.7%无明显异常X线征象,后确诊18例为单纯性肠梗阻,7例为脑出血后麻痹性肠梗阻,5例为术后早期炎性肠梗阻;36.5%为粘连性小肠梗阻,其中9例肠腔非狭窄,8例为肠腔狭窄但不完全,2例完全狭窄;5.8%为小肠转移肿瘤;经治疗后梗阻解除成功率为86.5%,7例中转外科手术。结论选择性小肠造影诊断肠梗阻可初步明确其病因,联合经鼻导管小肠减压可有效解除梗阻。

Objeetive To analyze the imaging value of selective small bowel angiography in patients with intestinal obstruction. Methods Fifty-two patients with intestinal obstruction admitted in our hospital from February 2016 to February 2017 were selected for selective small bowel angiography and their diagnostic value was explored. Results The success rate of catheterization in 52 patients was 100%, the jejunum was about （13.1±2.7） rain. 57.7% of selective small bowel angiography showed no abnormal X-ray findings, 18 cases were diagnosed as simple intestinal obstruction, 7 cases of cerebral hemorrhage after paralytic ileus, 5 cases of early postoperative inflammatory bowel obstruction.36.5% of mucosal small intestinal obstruction, 9cases of intestinal non-stenosis, 8 cases of intestinal stenosis but not complete, 2 cases of complete stenosis. 5.8% of small intestine metastatic tumor; after treatment, the success rate of obstruction was 86.5%, 7 cases of transit surgery. Conclusion Selective small bowel angiography can confirm the cause of intestinal obstruction, combined with nasal catheter small intestine decompression can effectively lift the obstruction.