CAJ | 학술논문

目的：探讨与分析采用CT与X线用于诊断胆石性肠梗阻患者临床价值。方法回顾性分析我院2011年1月-2013年12月期间所收治60例胆石性肠梗阻患者临床X线和CT表现情况。结果经研究发现，胆结石位置：十二指肠12例、回肠18例、空肠24例、横结肠6例。结石直径2.6-6.7cm，平均为(3.2±0.4)cm。发生胆囊-十二指肠瘘者为24例、胆囊-结肠瘘6例、胆囊-十二指肠-结肠复合瘘6例；瘘口直径平均为(1.6±0.2)cm。患者临床影像学主要表现为肠管扩张积气和积液、液平面、胆道系统扩张积气、肝内胆管、胆囊及胆囊管积气、胆总管积气。结论临床上应用X线与CT用于诊断胆石性肠梗阻，其可准确诊断患者病变，从而可为临床治疗提供重要参考价值。
목적：탐토여분석채용CT여X선용우진단담석성장경조환자림상개치。방법회고성분석아원2011년1월-2013년12월기간소수치60례담석성장경조환자림상X선화CT표현정황。결과경연구발현，담결석위치：십이지장12례、회장18례、공장24례、횡결장6례。결석직경2.6-6.7cm，평균위(3.2±0.4)cm。발생담낭-십이지장루자위24례、담낭-결장루6례、담낭-십이지장-결장복합루6례；루구직경평균위(1.6±0.2)cm。환자림상영상학주요표현위장관확장적기화적액、액평면、담도계통확장적기、간내담관、담낭급담낭관적기、담총관적기。결론림상상응용X선여CT용우진단담석성장경조，기가준학진단환자병변，종이가위림상치료제공중요삼고개치。
Objective Discussion and analysis using CT and X-ray for diagnosis of gallstone ileus patients. Methods A retrospective analysis of our hospital in 2011 January ~2013 year in December during the 60 cases of clinical and X-ray and CT in patients with gallstone ileus performance. Results The study found that the gallstones location: 6 cases of duodenal in 12 cases, ileum in 18 cases, jejunum in 24 cases, transverse colon. Stone diameter 2.6~6.7cm, average of (3.2±0.4) cm. Occurrence of cystiduodenal fistula in 24 cases, gallbladder colon fistula in 6 cases, gallbladder duodenum colon complex fistula in 6 cases; the average diameter of the fistula was (1.6±0.2) cm. Patients with clinical imaging mainly dilatation of intestine gas and fluid, liquid level, dilation of bile duct pneumatosis, intrahepatic bile duct, gallbladder and cystic duct, common bile duct pneumatosis pneumatosis. Conclusion The clinical application of X-ray and CT for the diagnosis of gallstone ileus, which can accurately diagnose patients lesions, which can provide important reference value for clinical therapy.