摘要
目的:探讨腹部CT检查及薄层多平面重建(MPR)对肠梗阻患者的诊断价值。方法:回顾性分析59例经临床确诊的肠梗阻患者的腹部CT检查及薄层MPR资料,总结肠梗阻的病因及其影像学表现。结果:59例肠梗阻患者,按梗阻部位分为胃、十二指肠梗阻1例,空回肠梗阻26例,回盲部梗阻8例,结肠梗阻17例,多梗阻部位7例;按梗阻原因分为粘连性肠梗阻21例,肿瘤性肠梗阻24例,炎症性肠梗阻6例,粪石性肠梗阻3例,肠扭转所致肠梗阻1例,肠套叠所致肠梗阻2例,腹内(外)疝所致肠梗阻2例。结论:腹部CT平扫+动态增强检查及薄层MPR有助于明确诊断有无肠梗阻,以及梗阻的位置、严重程度及病因,为临床治疗方案的制定提供可靠的影像学依据。
Objective:To evaluate the value of dynamic contrast-enhanced CT and multi-planar reformation(MPR)for patients with intestinal obstruction.Methods:The imaging data were reviewed in 59 cases of clinically conformed intestinal obstruction undergone abdominal CT and MPR in our hospital.The etiology was analyzed and the imaging features were examined in all cases.Results:By the lesion location,one case was duodenal obstruction,26 cases were jejunum and proximal ileum obstruction,8 ileocecal obstruction,17 colonic obstruction,and 7 multiple obstruction.By the cause of obstruction,21 cases were caused by intestinal adhesion,24 by tumors,6 by inflammatory lesions,3 by fecal ileus.One case was caused by volvulus.Two cases were attributed to intussusceptions,and another 2 to intraperitoneal(external)hernia.Conclusion:Dynamic enhanced CT examination and MPR are helpful in the diagnosis of intestinal obstruction as well as defining the obstruction location,severity and causes of obstruction,and can supply reliable imaging information in planning treatment strategies for this disease.
作者
程亮
周运锋
陈玲
王敏红
周峰峰
张强
CHENG Liang;ZHOU Yunfeng;CHEN Ling;WANG Minhong;ZHOU Fengfeng;ZHANG Qiang(Medical Imaging Center,The First Affiliated Hospital of Wangnan Medical College,Wuhu 241001,China)
出处
《皖南医学院学报》
CAS
2018年第2期177-179,共3页
Journal of Wannan Medical College
关键词
肠梗阻
螺旋CT
动态增强
薄层重建
intestinal obstruction
spiralCT
dynamic enhancement
multi-planar reformation
