CAJ | 학술논문

目的探讨植物性粪石致急性小肠梗阻的CT表现及诊断价值。方法回顾性分析经外科手术证实的19例植物性粪石致急性小肠梗阻的临床资料及术前CT表现。结果本组19例术前CT影像均显示粪石呈边缘清楚的卵圆形或圆形,其内密度不均或夹有小气泡影的软组织包块影。手术证实14例(73.7%)为单发粪石,5例(26.3%)为多发粪石；共取出粪石27枚,其中位于回肠16枚(59.3%),空肠8枚(29.6%),胃2枚(7.4%),十二指肠1枚(3.7%)。结论小肠植物性粪石CT影像具有特征性表现,可明确粪石数量及部位,是诊断植物性粪石致急性小肠梗阻的有效方法。
목적탐토식물성분석치급성소장경조적CT표현급진단개치。방법회고성분석경외과수술증실적19례식물성분석치급성소장경조적림상자료급술전CT표현。결과본조19례술전CT영상균현시분석정변연청초적란원형혹원형,기내밀도불균혹협유소기포영적연조직포괴영。수술증실14례(73.7%)위단발분석,5례(26.3%)위다발분석；공취출분석27매,기중위우회장16매(59.3%),공장8매(29.6%),위2매(7.4%),십이지장1매(3.7%)。결론소장식물성분석CT영상구유특정성표현,가명학분석수량급부위,시진단식물성분석치급성소장경조적유효방법。
Objective To explore the computed tomography ( CT) findings and diagnostic value of acute small bowel obstruction induced by vegetality fecalith. Methods Clinical data and preoperative CT findings of 19 patients with acute small bowel obstruction induced by vegetality fecalith confirmed by surgical means were retrospectively analyzed. ResultsThe preoperative CT findings showed that stone edges were clear ovoid or round with uneven density or balloon-like soft tissue mass shadow. A total of 14 cases (73. 7%) of single fecalith and 5 cases (26. 3%) of multiple fecalith were confirmed by surgical means;27 pieces of fecalith were removed, including 16 cases (59. 3%) in the ileum, 8 cases (29. 6%) in jeju-num, 2 cases (7. 4%) in stomach and 1 case (3. 7%) in duodenum. Conclusion CT findings of enteric vegetality fecalith are specific, and can exactly locate the number and position of fecalith, so it is an effective method in diagnosis of acute small bowel obstruction induced by vegetality fecalith.