CAJ | 학술논문

目的探讨16层螺旋CT在乙状结肠扭转中的诊断价值.方法对经16层螺旋CT平扫及多平面重组(MPR)诊断的12例乙状结肠扭转患者,结合其临床和手术结果进行回顾性分析.结果 CT主要表现有:扭转的肠袢扩张积液积气,呈马蹄形或囊袋状形12例;肠管及系膜漩涡征9例;交叉征7例;鸟喙征12例;腹水6例.结论多层螺旋CT平扫结合MPR能快速显示乙状结肠扭转的部位、程度、形态特征、有无血运障碍等,是诊断乙状结肠扭转非常有价值的检查方法.
목적탐토16층라선CT재을상결장뉴전중적진단개치.방법대경16층라선CT평소급다평면중조(MPR)진단적12례을상결장뉴전환자,결합기림상화수술결과진행회고성분석.결과 CT주요표현유:뉴전적장번확장적액적기,정마제형혹낭대상형12례;장관급계막선와정9례;교차정7례;조훼정12례;복수6례.결론다층라선CT평소결합MPR능쾌속현시을상결장뉴전적부위、정도、형태특정、유무혈운장애등,시진단을상결장뉴전비상유개치적검사방법.
Objective ::To explore the diagnostic value of 16-slice spiral CT conventional scan and its multi-planar reformation(MPR) in sigmoid colon volvulus.. Methods:retrospectively analysed the outcome of 12 case of sigmoid colon Volvulus patients who were diagnosed by 16-slice spiral CT conventional scan and its MPR and proved by clinical operations . Results: Multi-slice CT(MSCT) features of 12 case. including:volvulus with intestinal expanded 、fluid and pneumotosis、 with shapes of U-shaped or capsule strips 12 cases. Whirl pool of intestine and mesenteric whirlpool sign 9 cases 、 Cross sign 7 cases 、Beak sign 12 cases. Abdominal fluid 6 cases. Conclusion:: MSCT conventional scan can quickly show the location degree lesion morphological characterstic of intestinal volvulus ,with or without hemody namic images impairment of bouel wal. 16-slice spiral CT conventional scan and its (MPR) have important value to diagnose sigmoid colon volvulus .