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多排螺旋CT平扫分析成年肠套叠患者疾病类型、发病原因及临床表现 被引量:2

Through Multi-slice Spiral CT Flat-screen To Analyse the Disease Type,Pathogenesis and Clinical Manifestation of the Adult Intussusception Patients
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摘要 通过多排螺旋CT平扫分析成年肠套叠患者疾病类型、发病原因及临床表现,选取2018年6月至2019年10月我院收治的80例成年肠套叠患者,对其进行多排螺旋CT平扫。观察患者疾病类型、发病原因及临床表现。结果显示,80例患者中顺行性肠套叠75例,5例为逆行性肠套叠。其中回肠-结肠型40例(50.00%),结肠-结肠型17例(21.25%)、小肠-小肠型18例(22.50%)、结肠-直肠型5例(6.25%)。发病多数与肿瘤有关,占88.75%;累及结肠病例共5例(6.25%),恶性肿瘤发病率较高;发病于小肠患者4例(5.00%)多数为良性病变。患者均有分层鞘状软组织影表现,其中直接征象:"靶征"、"腊肠征"、"肾形"、不规则团块及伴血管卷入征和脂肪征、肠内肠。间接征象:肠壁水肿增厚、不全肠梗阻、腹腔积液、肠壁积气。结果表明,多排螺旋CT平扫对成年肠套叠定性定位的诊断较为准确,能明确其类型及病因,发现原发病变,对后期临床诊治具有重要参考价值。 To analyse the disease type,pathogenesis and clinical manifestation of adult intussusception patients(AIP),this study enrolled 80 AIP treated in authors’ hospital(2018-06-2019-10)and took multislice spiral CT flat-screen on the patients to observe their condition type,pathogenesis and clinical manifestation.As results,in the 80 patients,75 cases were of anterograde intussusception,5 of retrograde one,including 40 cases being of ileum-colon type(50.00%),colon-colon type being in another17 cases(21.25%),small intestine-small intestine type in 18 cases(22.50%),and colon-rectum type in 5 cases(6.25%);the most(88.75%)of pathogenesis were related to tumor:5 cases were involved in colon,their malignant onset rate were higher;4 cases’ pathogenesis from small intestine(5.00%),but most being benign lesion;all of the patients showed stratified ensheatthing soft tissue image including direct signs ":target sign" ", botuliform sign" ", kidney shaped",irregular mass and associated with sign of trapped blood vessels and fatty sign,as well intestine-in-intestine;indirect signs:parietal edema thicking,discomplete intestinal obstruction,pyoperitoneum,and pneumatosis intestinalis.Results show that through multi-slice spiral CT flat-screen to qualitatively and localizing diagnose AIP is more accuracy with clearing its type and pathogenesis,discovering primary lesion,thus has important reference value to late clinical diagnosis.
作者 冯悦铭 范红燕 原士超 FENG Yue-ming;FAN Hong-yan;YUAN Shi-chao(CT Room of Jiaozuo Citys'2nd People's Hospital,Henan 454000)
出处 《中国肛肠病杂志》 2020年第7期21-23,共3页 Chinese Journal of Coloproctology
关键词 成年肠套叠 多排螺旋CT 疾病类型 发病原因 临床表现 Adult intussusception Multi-slice spiral CT Disease type Pathogenesis Clinical manifestation
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