CAJ | 학술논문

目的：探讨多排螺旋CT对急性肠缺血的诊断价值。方法对6例经临床、手术证实的急性肠缺血患者的多排螺旋CT表现进行回顾性分析。结果6例患者均显示“缆绳征”、“肠腔积气积液”、“肠壁增厚”，5例显示“腹主动脉壁钙化斑”，1例显示“漩涡征”，4例显示腹部积液，1例显示肠壁内积气。结论对于急性肠缺血，多排螺旋CT检查是无创、快速、准确的检查方法，并且一定情况下可查出缺血原因。
목적：탐토다배라선CT대급성장결혈적진단개치。방법대6례경림상、수술증실적급성장결혈환자적다배라선CT표현진행회고성분석。결과6례환자균현시“람승정”、“장강적기적액”、“장벽증후”，5례현시“복주동맥벽개화반”，1례현시“선와정”，4례현시복부적액，1례현시장벽내적기。결론대우급성장결혈，다배라선CT검사시무창、쾌속、준학적검사방법，병차일정정황하가사출결혈원인。
Objective To explore the value of multislice spiral CT in the diagnosis of acute bowel ischemia. Methods Multislice spiral CT findings of 6 patients with acute bowel ischemia confirmed by clinical examination and surgery were analyzed retrospectively. Results Multislice spiral CT findings showed "strand sign", "intestinal cavity pneumatosis and effusion" and "bowel wall thickening" in all the 6 patients, "abdominal aortic calcified plaques" in 5 patients, "whirl sign" in 1 patient, abdominal effusion in 4 patients, and pneumatosis intestinalis in 1 patient. Conclusion Multislice spiral CT examination is noninvasive, fast and accurate for diagnosing acute bowel ischemia and can identify ischemia causes under certain circumstances.