CAJ | 학술논문

目的：探讨X线及CT联合应用对胆石性肠梗的阻诊断价值。方法：回顾性分析10例胆石性肠梗阻患者的X线及CT表现。结果：10例患者中2例胆结石位于十二指肠，4例胆结石位于空肠，3例胆结石位于回肠，1例胆结石位于横结肠，结石直径2．5～6．5 cm，平均3．5 cm；4例出现胆囊-十二指肠瘘，1例出现胆囊-结肠瘘，1例出现胆囊-十二指肠-结肠复合瘘，瘘口平均直径约1．5 cm，其影像学表现包括肠管扩张积气积液、梗阻段肠腔内环形高密度结石影、胆囊积气及消化道造影剂外漏。结论：X线及CT联合应用可明确诊断胆石性肠梗阻，为临床治疗提供重要信息。
목적：탐토X선급CT연합응용대담석성장경적조진단개치。방법：회고성분석10례담석성장경조환자적X선급CT표현。결과：10례환자중2례담결석위우십이지장，4례담결석위우공장，3례담결석위우회장，1례담결석위우횡결장，결석직경2．5～6．5 cm，평균3．5 cm；4례출현담낭-십이지장루，1례출현담낭-결장루，1례출현담낭-십이지장-결장복합루，루구평균직경약1．5 cm，기영상학표현포괄장관확장적기적액、경조단장강내배형고밀도결석영、담낭적기급소화도조영제외루。결론：X선급CT연합응용가명학진단담석성장경조，위림상치료제공중요신식。
Objective:To discuss the clinical value of combined application of X-ray and CT for diagnosis of gallstone ileus.Methods:10 cases of patients diagnosed as gallstone ileus with X-ray and CT imaging between 2011~2013 were col-lected and analyzed retrospectively.Results:Gallstones were found in 10 patients,2 in the duodenum,4 in the jejunum,3 in the ileum and 1 in the transverse colon.Diameters of stones were 2.5~6.5cm,with an average of 3.5cm.There appeared gallbladder-colon-fistula in 4 cases,gallbladder-duodenum-fistula in one,gallbladder-duodenum-colon-fistula in one,the aver-age diameter of fistula was 1.5cm.Their imaging manifestations included intesinal dilation with gas and fluid collection,gall-stone in the obstructed intesine,pneumo-gallbladder and leakage of contrast agent in the digestive tract.Conclusion:Com-bined X-ray and CT scan can confirm the diagnosis of gallstone ileus with high clinical value for its treatment planning.