CAJ | 학술논문

目的：探讨多层螺旋CT增强扫描在闭合性肠和肠系膜损伤中诊断中的应用价值。方法对珠海市第二人民医院及珠海市第五人民医院2010年1月-2014年6月期间所收治的124例闭合性肠及肠系膜损伤患者为研究对象,将其随机分为对照组与观察组各62例,分别进行多层螺旋CT增强扫描与CT扫描,总结各种征象的临床意义,并对两种诊断方法的准确率进行比较。结果该组病例中十二指肠损伤26例,空回肠及系膜损伤21例,结肠及系膜损伤9例,多处肠壁及系膜损伤6例。多层螺旋CT增强检查的诊断符合率为100.0%,CT平扫的诊断符合率为90.3%,组间比较差异有统计学意义(P<0.05)。结论多层螺旋CT增强扫描能对闭合性肠和肠系膜损伤的部位和病变类型作出快速、准确地判断,为临床制定治疗方案的提供可靠依据。
목적：탐토다층라선CT증강소묘재폐합성장화장계막손상중진단중적응용개치。방법대주해시제이인민의원급주해시제오인민의원2010년1월-2014년6월기간소수치적124례폐합성장급장계막손상환자위연구대상,장기수궤분위대조조여관찰조각62례,분별진행다층라선CT증강소묘여CT소묘,총결각충정상적림상의의,병대량충진단방법적준학솔진행비교。결과해조병례중십이지장손상26례,공회장급계막손상21례,결장급계막손상9례,다처장벽급계막손상6례。다층라선CT증강검사적진단부합솔위100.0%,CT평소적진단부합솔위90.3%,조간비교차이유통계학의의(P<0.05)。결론다층라선CT증강소묘능대폐합성장화장계막손상적부위화병변류형작출쾌속、준학지판단,위림상제정치료방안적제공가고의거。
Objective To investigate the application value of multi-slice spiral CT enhanced scanning in the diagnosis of closed bowel and mesenteric injury. Methods 124 patients with closed bowel and mesenteric injury admitted in The Second People's Hospital of Zhuhai and The Fifth People's Hospital of Zhuhai from January 2010 to June 2014 were selected as the subjects. The patients were randomly divided into the control group and the observation group with 62 cases in each, and given multi-slice spiral CT enhanced scanning, CT scanning, respectively. The clinical significance of various symptoms was summarized, and the diagnos-tic accuracies of these two ways were compared. Results Of this group of patients, there were 26 cases with injury in duodenum, 21 cases in jejunoileum and mesenterium, 9 cases in colon and mesentery, 6 cases in most bowel wall and mesentery. The diag-nostic accordance rate of multi-slice spiral CT enhanced scanning was 100.0%, and that of CT scanning was 90.3%, the difference between the groups was statistically significant (P<0.05). Conclusion Multi-slice spiral CT enhanced scanning can determines the location of closed bowel and mesenteric injury and the type of lesions fast and accurately, which provides a reliable basis for for-mulating treatment schemes clinically.