医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2014年
5期
760-763
,共4页
胃肠疾病%诊断%影像诊断%多模式方法
胃腸疾病%診斷%影像診斷%多模式方法
위장질병%진단%영상진단%다모식방법
Gastroenteropathy%Diagnosis%Imaging diagnosis%M ultiple mode methods
目的：比较X线、CT、MRI及DSA在胃肠病变检诊中的应用价值。方法2012年1月～2012年12月间在我科进行影像学检查的胃肠病变患者纳入研究对象，共94例，其中男52例，年龄2～81岁，中位年龄52岁；女42例，年龄8～87岁，中位年龄59岁。检查方法包括 X 线消化道气钡双重造影，CT 平扫，CT 增强（CT-CE），CT 血管造影（CTA），MRI平扫，MRI增强，数字血管减影血管成像（DSA）。在随访中，以消化内镜检查和（或）手术病理诊断为参考标准，评价影像方法的诊断正确率。结果94例患者中，X线消化道气钡双重造影检查14例，明确诊断12例，另2例通过C T检查明确诊断。C T检查68例，平扫明确诊断7例，进一步增强扫描明确诊断57例，再进一步结合消化道气钡双重造影明确者1例、MRI明确者1例、DSA明确者1例，还有1例通过手术探查明确。CTA检查11例，直接明确诊断者8例，进一步DSA明确者3例。MRI检查1例，未能直接明确诊断，进一步CT检查明确。结论 CT在胃肠病检诊中较X线、M RI和DSA具有更高的诊断价值，但是合理联合多种方法能够弥补单一影像学方法显示病变的局限，可以明显提高对胃肠病变的诊断正确率。
目的：比較X線、CT、MRI及DSA在胃腸病變檢診中的應用價值。方法2012年1月～2012年12月間在我科進行影像學檢查的胃腸病變患者納入研究對象，共94例，其中男52例，年齡2～81歲，中位年齡52歲；女42例，年齡8～87歲，中位年齡59歲。檢查方法包括 X 線消化道氣鋇雙重造影，CT 平掃，CT 增彊（CT-CE），CT 血管造影（CTA），MRI平掃，MRI增彊，數字血管減影血管成像（DSA）。在隨訪中，以消化內鏡檢查和（或）手術病理診斷為參攷標準，評價影像方法的診斷正確率。結果94例患者中，X線消化道氣鋇雙重造影檢查14例，明確診斷12例，另2例通過C T檢查明確診斷。C T檢查68例，平掃明確診斷7例，進一步增彊掃描明確診斷57例，再進一步結閤消化道氣鋇雙重造影明確者1例、MRI明確者1例、DSA明確者1例，還有1例通過手術探查明確。CTA檢查11例，直接明確診斷者8例，進一步DSA明確者3例。MRI檢查1例，未能直接明確診斷，進一步CT檢查明確。結論 CT在胃腸病檢診中較X線、M RI和DSA具有更高的診斷價值，但是閤理聯閤多種方法能夠瀰補單一影像學方法顯示病變的跼限，可以明顯提高對胃腸病變的診斷正確率。
목적：비교X선、CT、MRI급DSA재위장병변검진중적응용개치。방법2012년1월～2012년12월간재아과진행영상학검사적위장병변환자납입연구대상，공94례，기중남52례，년령2～81세，중위년령52세；녀42례，년령8～87세，중위년령59세。검사방법포괄 X 선소화도기패쌍중조영，CT 평소，CT 증강（CT-CE），CT 혈관조영（CTA），MRI평소，MRI증강，수자혈관감영혈관성상（DSA）。재수방중，이소화내경검사화（혹）수술병리진단위삼고표준，평개영상방법적진단정학솔。결과94례환자중，X선소화도기패쌍중조영검사14례，명학진단12례，령2례통과C T검사명학진단。C T검사68례，평소명학진단7례，진일보증강소묘명학진단57례，재진일보결합소화도기패쌍중조영명학자1례、MRI명학자1례、DSA명학자1례，환유1례통과수술탐사명학。CTA검사11례，직접명학진단자8례，진일보DSA명학자3례。MRI검사1례，미능직접명학진단，진일보CT검사명학。결론 CT재위장병검진중교X선、M RI화DSA구유경고적진단개치，단시합리연합다충방법능구미보단일영상학방법현시병변적국한，가이명현제고대위장병변적진단정학솔。
Objective To compare the diagnostic ability of X-ray ,CT ,MRI and DSA in gastroenteropathy .Methods 94 cases with gastroenteropathies were included in this study who had been diagnosed by radiology from Jan 2012 to Dec 2012 .In these cases ,males were 52 aged from 2~81 years with median age 52 years ,and females were 42 aged from 8~87 years with median age 59 years .Radiology examination methods were X-ray air-Ba double contrast radiography ,CT plain scan ,CT contrast enchancement (CT-CE) scan ,CT angiography (CTA) ,MRI and digital substraction angiography (DSA) .Took digestive endoscopy examination and (or) operation-pathological diagnosis obtained by following-up as the reference standard to evaluate the diagnostical capability of imaging methods in gastroenteropathy .Results In 94 cases , 14 received X-ray air-Ba double contrast radiography ,among them ,12 directly got identify diagnosis ,the other 2 got iden-tify diagnosis by CT in further examination ;68 received CT ,among them ,7 directly got identify diagnosis by CT plain scan ,in further examination performed for identify diagnosis ,57 by CT-CE ,and in next further examination ,1 by X-ray air-Ba double contrast radiography ,1 by MRI ,1 by DSA and 1 by operation research ;11 received CTA ,among them ,8 directly got identify diagnosis and 3 by DSA in further examination .Only 1 case received MRI but got no identify diagno-sis ,further CT examination help to get diagnosis .Conclusion CT relatively has higher diagnostic value compraring with X-ray ,M RI and DSA in gastroenteropathy ,but combination of multiple imaging methods could make up the limitation of single method ,significantly improving the diagnostic capability in gastroenteropathy .
