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肠扭转的CT诊断(附16例分析) 被引量:16

CT dagnosis of volvulus(an analysis of 16 cases)
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摘要 目的:探讨肠扭转CT平扫的影像学特征。方法:对16例经手术证实的肠扭转患者的CT平扫检查及其影像学表现进行了分析。结果:肠扭转CT平扫的主要征象为:①直接征象:肠袢呈C形15例,肠系膜血管扭曲征16例,远端肠管呈鸟嘴征13例,漩涡征6例;②间接征象:扭转肠袢内积液、积气者14例(其中单纯肠管内积液者6例),近端肠管见液平面者12例,腹膜腔内积液者3例。结论:CT平扫对肠扭转的早期诊断及指导临床治疗有重要价值。 Objective: To evaluate the radiological features of volvulus on conventional CT.Methods: Tire CT manifestations of 16 cases with proven volvulus were retrospectively analyzed.Results:The main characteristics CT features included: (1) The direct signs: C-like claractefistic appeared in 15 cases, the atria and vena of mesenterium volvulated in 16 cases, bird-mouth in the below intestina in 13 cases and, volvute in 6 cases;(2) The indirect signs: There were 14 cases poesonted the retorted intestina includeing 6 cases that appeared simply fluid interface and 12 cases in the above intestina that appeared fluid-air interface. There were 3 c.asess that appeared fluid collections in peritoneal cavity. Conclusion: Conventional CT is valuable in the conrrect diagnosis and selecting method for the treatment of volvulus.
出处 《医学影像学杂志》 2008年第1期34-36,共3页 Journal of Medical Imaging
关键词 肠扭转 体层摄影术 X线计算机 Volvulus Tomography, X-ray computed
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