摘要
目的:分析肠系膜上动脉血栓128层螺旋CT血管成像特征并对CT检查的诊断价值进行探究。方法:回顾性分析2015年5月～2017年12月于我院接受治疗的30例肠系膜上动脉血栓患者128层螺旋CT血管成像资料,探究患者128层螺旋CT血管成像特征。结果:30例患者均存在肠系膜上动脉增粗、血管腔内充盈缺损的情况。其中1例显示腹腔、肠系膜内或者肠壁的气体聚集,2例存在肠系膜水肿,3例存在肠系膜积液,4例患者肠壁明显增厚,6例患者肠系膜不强化,6例患者肠壁变薄,8例患者肠腔扩张、积气或者积液。结论:128层螺旋CT血管成像技术不但能够清楚地反映肠系膜上动脉血栓的血管情况,还具有提示患者肠壁缺血程度的作用,为肠系膜上动脉血栓临床治疗医师治疗方案的制定与实施提供了可靠的影像学支撑,在临床上的应用价值高。
Objective:To analyze the characteristics of 128-slice spiral CT angiography of superior mesenteric artery thrombosis and to investigate the diagnostic value of CT examination.Methods:The 128-slice spiral CT angiography data of 30 patients with superior mesenteric artery thrombosis treated in our hospital from May 2015 to December 2017 were retrospectively analyzed. The characteristics and diagnostic efficacy of 128-slice spiral CT angiography were discussed.Results:30 cases of patients had thickening of the superior mesenteric artery and filling of the lumen of the vessel. 1 of them showed gas accumulation in the peritoneal, mesenteric or intestinal wall, 2 cases had mesenteric edema, 3 cases had mesenteric effusion, 4 cases had thickened intestinal wall, 6 cases had no mesentery, and 6 cases had intestinal wall changes, 8 patients with intestinal dilatation, gas accumulation or effusion.Conclusion:128-slice spiral CT angiography not only can clearly reflect the vascular condition of superior mesenteric artery thrombosis, but also has the effect of suggesting the degree of intestinal wall ischemia. It provides a reliable method for the development and implementation of treatment plan for clinical treatment of superior mesenteric artery thrombosis. Imaging support has high clinical value.
作者
梁付奎
殷好治
傅晓琴
刘明标
伦俊杰
Liang Fukui;Yin Haozhi;Fu Xiaoqin;Liu Mingbiao;Lun Junjie(Changle County people's Hospital CT/MR Room, Weifang 262400, Shandong;Changle County people's Hospital Department of Oncology, Weifang 262400, Shandong)
出处
《现代医用影像学》
2019年第6期1213-1215,共3页
Modern Medical Imageology
关键词
肠系膜上动脉血栓
螺旋CT
血管成像特征
Superior mesenteric artery thrombosis
Spiral CT
Angiographic features
