CAJ | 학술논문

目的探讨螺旋CT对小儿先天性肠旋转不良的诊断价值.方法 2003年5月至2009年6月间,对经螺旋CT检查及手术病理证实的23例小儿先天性肠旋转不良的CT表现和临床资料进行回顾性分析.结果 23例均经CT明确诊断并手术证实,其中16例可见肠系膜根部漩涡征或同心圆征,18例可见十二指肠呈"Z"字走行或呈鹰嘴样改变,13例有肠系膜上动脉、静脉换位征或垂直排列,23例右下腹未见正常回盲部及结肠.结论小儿先天性肠旋转不良螺旋CT检查具有重要的临床价值.
목적 탐토라선CT대소인선천성장선전불량적진단개치.방법 2003년5월지2009년6월간,대경라선CT검사급수술병리증실적23례소인선천성장선전불량적CT표현화림상자료진행회고성분석.결과 23례균경CT명학진단병수술증실,기중16례가견장계막근부선와정혹동심원정,18례가견십이지장정"Z"자주행혹정응취양개변,13례유장계막상동맥、정맥환위정혹수직배렬,23례우하복미견정상회맹부급결장.결론 소인선천성장선전불량라선CT검사구유중요적림상개치.
Objective To discuss the value of spiral CT in diagnosing infantile intestinal malrotation.Methods The spiral CT findings and clinical data of 23 cases of operatively-confirmed infantile intestinal malrotation were retrospectively analyzed.Results Twenty-three cases of infantile intestinal malrotation were all diagnosed by SCT and confirmed by surgery.The main findings were as follows:whirlpool or concentric circle sign in mesenteric root with midgut volvulus(n=16);duodenum assumed as "Z" or olecranon spur sign(n=18);inverted transposition or vertical arrangement of superior mesenteric artery and vein(n=13);abnormal sign of ileocecal junction and colon in fight lower quadrant(n=23).Conclusion Spiral CT scanning has an important value in the early diagnosis of infantile intestinal malrotation.