CAJ | 학술논문

目的探讨多排螺旋 CT(MDCT)在急性肠梗阻诊断中的价值.方法回顾性分析51例经临床、手术及病理证实为急性肠梗阻多排螺旋 CT 检查资料,并将临床、手术病理结果与 MDCT 诊断结果对照.扫描采用 MDCT 平扫或平扫+增强扫描,成像方法为薄层横断面、多方位重建成像.结果与临床、手术病理结果对照,多层螺旋 CT 诊断急性肠梗阻的敏感性为100%,部位准确率为98%,病因诊断准确率为94%.其中,肠道肿瘤20例,粘连性肠梗阻13例,肠道炎症5例,腹部疝6例,粪石性肠梗阻 3例,胆石性肠梗阻2例,肠道扭转2例.结论 MDCT 对急性肠梗阻、部位及其病因的诊断、血供情况的了解均有重大意义,可作为急性肠梗阻的首选检查方法.
목적탐토다배라선 CT(MDCT)재급성장경조진단중적개치.방법회고성분석51례경림상、수술급병리증실위급성장경조다배라선 CT 검사자료,병장림상、수술병리결과여 MDCT 진단결과대조.소묘채용 MDCT 평소혹평소+증강소묘,성상방법위박층횡단면、다방위중건성상.결과여림상、수술병리결과대조,다층라선 CT 진단급성장경조적민감성위100%,부위준학솔위98%,병인진단준학솔위94%.기중,장도종류20례,점련성장경조13례,장도염증5례,복부산6례,분석성장경조 3례,담석성장경조2례,장도뉴전2례.결론 MDCT 대급성장경조、부위급기병인적진단、혈공정황적료해균유중대의의,가작위급성장경조적수선검사방법.
Objective To evaluate the value of multidetecter computed tomography(MDCT) in the diagnosis of acute intestinal obstruction. Methods MDCT findings in 51 patients with surgically or clinically be proven acute intestinal obstruction were retrospectively reviewed. Non-contrast and double phase contrast enhanced MDCT including thin slice axial scan and multiplanar reformations (MPRs) were performed in all patients. Results MDCT manifestations were consistent with clinical and surgical findings in all 51 patients. MDCT diagnostic accuracy of intestinal obstruction was 100%, the accuracy of the location was 98%, and the accuracy of the cause was 94%, including intestinal neoplasms(20cases), adhesions(13cases), intestinal inflammation(5cases), abdominal hernia(6cases), fecal stone obstruction(3 cases) ,gallstone obstruction(2cases),intestinal torsion(2cases). Conclusion MDCT can play an important role in the diagnosis of intestinal obstruction including location, degree and causation of disease. It can also be useful in observing intestinal blood supply. It can be the first choice in diagnosis of acute intestinal obstruction.