CAJ | 학술논문

目的：探讨16层螺旋CT图像及后处理技术对肠梗阻病因的诊断价值。方法回顾经手术病理和临床随访证实的49例肠梗阻患者病例，行CT容积扫描进行薄层及（MPR,MinIP,VR）图像重建,分析肠梗阻的病因。结果肠梗阻诊断率为100%，病因诊断率为95.9%，包括肿瘤性、肠粘连、肠扭转、疝气、肠套叠、粪石性梗阻、Crohn's病；结论16层螺旋CT及后处理重建技术能准确显示肠梗阻部位、原因及周围情况，为临床及时治疗提供重要依据，在临床中予以推广。
목적：탐토16층라선CT도상급후처리기술대장경조병인적진단개치。방법회고경수술병리화림상수방증실적49례장경조환자병례，행CT용적소묘진행박층급（MPR,MinIP,VR）도상중건,분석장경조적병인。결과장경조진단솔위100%，병인진단솔위95.9%，포괄종류성、장점련、장뉴전、산기、장투첩、분석성경조、Crohn's병；결론16층라선CT급후처리중건기술능준학현시장경조부위、원인급주위정황，위림상급시치료제공중요의거，재림상중여이추엄。
Objective To investigate the 16 slice spiral CT and post processing technology in diagnosis of intestinal obstruction. Methods Retrospectively reviewed 49 cases of intestinal obstruction which confirmed by operation pathology and clinical follow-up. CT volume scanning of thin layer and (MPR, MinIP, VR) image reconstruction were processed to analyze the etiology of intestinal obstruction. Results The diagnosis rate of intestinal obstruction was 100%, the etiological diagnosis rate was 95.9%, including tumor, intestinal adhesion, hernia, volvulus, intussusception, stercoral obstruction, Crohn 's disease. Conclusion The 16 slice spiral CT and post-processing reconstruction technique can accurately display the intestinal obstruction, reason and the surrounding situation, to prompt clinical treatment provides the important basis, to be spread in clinical application.