CAJ | 학술논문

目的：探讨 MSCT 对肠石性肠梗阻的诊断价值。方法：回顾性分析17例经手术证实的肠石性肠梗阻的 CT表现。结果：17例患者中共有结石23枚。肠梗阻17例（17/17），肠石形态为类圆形6枚，长条状10枚，不规则型7枚，均表现为小肠粪球征。9枚位于上消化道，14枚位于下消化道。1例伴有肠系膜旋转。3例伴有肠系膜密度增高。6例肠壁增厚，3例增强肠壁强化减弱。3例伴有腹水。结论：MSCT 具有较高的密度分辨率及空间分辨率，结合多平面重组（MPR）及临床资料，可以对肠石性肠梗阻作定性、定位诊断。
목적：탐토 MSCT 대장석성장경조적진단개치。방법：회고성분석17례경수술증실적장석성장경조적 CT표현。결과：17례환자중공유결석23매。장경조17례（17/17），장석형태위류원형6매，장조상10매，불규칙형7매，균표현위소장분구정。9매위우상소화도，14매위우하소화도。1례반유장계막선전。3례반유장계막밀도증고。6례장벽증후，3례증강장벽강화감약。3례반유복수。결론：MSCT 구유교고적밀도분변솔급공간분변솔，결합다평면중조（MPR）급림상자료，가이대장석성장경조작정성、정위진단。
Objection:To evaluate the value of multi-slice CT (MSCT)in the diagnosis of intestinal obstruction due to enterolith.Methods:The MSCT manifestations of 17 cases with surgery proven intestinal obstruction due to enterolith were retrospectively analyzed.Results:Totally,there were 23 enteroliths in these 17 intestinal obstruction patients.All patients had ileus (17/17 cases).The shape of enterolith was oval (n=6),long (n=10),irregular (n=7),showing honeycomb pat-tern with air bubbles inside (n=23).The location of enterolith included upper GI tract (n=9)and lower GI tract (n=14). Mesenteric volvulus was seen in 1 case.3 patients showed hyper-attenuation of mesentery,6 patients had intestine wall thickening,3 patients showed reduced enhancement of bowel wall after contrast administration.Ascitis could be seen in 3 ca-ses.Conclusion:MSCT has high spatial and contrast resolution,when accompanied with multi-planar reformation (MPR) technique and correlated with clinical materials,qualitative diagnosis and accurate localization of intestinal obstruction caused by enterolith could be made.