中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2014年
7期
13-14
,共2页
口服等渗甘露醇%多层螺旋CT%小肠造影
口服等滲甘露醇%多層螺鏇CT%小腸造影
구복등삼감로순%다층라선CT%소장조영
Oral isotonic mannitol%Multislice spiral CT%Enterography
目的：评价口服等渗甘露醇MSCT小肠造影对小肠疾病的诊断价值。方法选取2013年10月～2014年2月经临床检查怀疑小肠疾病的80例患者，均进行MSCT小肠造影检查，检查前1 h内分4次口服等渗甘露醇溶液2000 mL，扫描前20 min肌肉注射20 mg山莨菪碱。对所获资料进行多平面重建（MPR）、最大密度投影（MIP）及重点部位曲面重建，显示小肠血管及肠壁特点，总结小肠疾病的影像学特征。结果80例患者均顺利完成扫描，结果评定为优者67例（83.8%），良11例（13.8%），一般2例（2.4%），差0例。所有患者未见不良反应的发生。80例患者中发现十二指肠腺癌11例，淋巴瘤9例，间质瘤6例，平滑肌瘤15例，Crohn’s 病25例，十二指肠慢性炎8例，阴性6例，与临床诊断符合率为100%。结论口服等渗甘露醇MSCT 检查对小肠疾病的诊断具有重要的临床意义和应用价值。
目的：評價口服等滲甘露醇MSCT小腸造影對小腸疾病的診斷價值。方法選取2013年10月～2014年2月經臨床檢查懷疑小腸疾病的80例患者，均進行MSCT小腸造影檢查，檢查前1 h內分4次口服等滲甘露醇溶液2000 mL，掃描前20 min肌肉註射20 mg山莨菪堿。對所穫資料進行多平麵重建（MPR）、最大密度投影（MIP）及重點部位麯麵重建，顯示小腸血管及腸壁特點，總結小腸疾病的影像學特徵。結果80例患者均順利完成掃描，結果評定為優者67例（83.8%），良11例（13.8%），一般2例（2.4%），差0例。所有患者未見不良反應的髮生。80例患者中髮現十二指腸腺癌11例，淋巴瘤9例，間質瘤6例，平滑肌瘤15例，Crohn’s 病25例，十二指腸慢性炎8例，陰性6例，與臨床診斷符閤率為100%。結論口服等滲甘露醇MSCT 檢查對小腸疾病的診斷具有重要的臨床意義和應用價值。
목적：평개구복등삼감로순MSCT소장조영대소장질병적진단개치。방법선취2013년10월～2014년2월경림상검사부의소장질병적80례환자，균진행MSCT소장조영검사，검사전1 h내분4차구복등삼감로순용액2000 mL，소묘전20 min기육주사20 mg산랑탕감。대소획자료진행다평면중건（MPR）、최대밀도투영（MIP）급중점부위곡면중건，현시소장혈관급장벽특점，총결소장질병적영상학특정。결과80례환자균순리완성소묘，결과평정위우자67례（83.8%），량11례（13.8%），일반2례（2.4%），차0례。소유환자미견불량반응적발생。80례환자중발현십이지장선암11례，림파류9례，간질류6례，평활기류15례，Crohn’s 병25례，십이지장만성염8례，음성6례，여림상진단부합솔위100%。결론구복등삼감로순MSCT 검사대소장질병적진단구유중요적림상의의화응용개치。
Objective To evaluate the multislice spiral CT(MSCT) oral isotonic mannitol enterography and intestinal diseases.Methods 80 patients with suspected small bowel disease by clinical examination from October 2013 to February 2014 were selected and received MSCT enterography,taking 2 000mL oral isotonic mannitol solution in 4 times during one hour before the examination and receiving muscle injection of 20 mg anisodamine before scan beginning 20 minutes.Multiplanar reconstruction(MPR) of the data obtained, the maximum intensity projection(MIP) and some key parts surface reconstruction could display of intestinal vascular and intestinal characteristics, summarize the imaging characteristic of small bowel disease .Results 80 patients were successfully completed scan.Results were evaluated as excellent in 67 cases(83.8%), good in 11 cases(13.8%), common in 2 cases(2.4%), poor in 0 cases. No adverse reaction occurred in all patients. 11 cases of duodenal adenocarcinoma were found in 80 patients, 9 cases of lymphoma, 6 cases of stromal tumor, 15 cases of leiomyoma, 25 cases of Crohn 's disease, 8 cases of duodenal chronic inflammation,and 6 cases were negative.The clinical diagnostic accordance rate was 100%.Conclusion It has important clinical significance and application value of MSCT oral isotonic mannitol enterography examination in the diagnosis of small bowel diseases.
