医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
22期
26-27
,共2页
肠壁积气%X线平片%CT%坏死性小肠结肠炎%巨结肠
腸壁積氣%X線平片%CT%壞死性小腸結腸炎%巨結腸
장벽적기%X선평편%CT%배사성소장결장염%거결장
Pneumatosis intestinalis%X-ray%Computed tomography%Necrotizing enterocolitis%Hirschsprung disease
目的：探讨肠壁积气X线平片以及CT的影像学表现及临床意义。方法：回顾性分析2009年至2012年本院腹部X线平片及腹部C T发现的10例肠壁积气患者的临床以及影像学资料，探讨肠壁积气的腹部X线平片以及C T的影像学特点及其临床意义。结果：9例腹部X线发现肠壁积气共同特点为沿肠管壁的线状、环状、囊状、泡状透亮影。CT扫描软组织窗及肺窗肠壁积气特征性表现为沿肠壁的线状、环状、泡状气体密度影。10例肠壁积气患者中9例临床确诊为新生儿坏死性小肠结肠炎，另1例为巨结肠患儿。结论：CT对肠壁积气的诊断敏感性及特异性较X线平片高，X线平片应用比较广泛，适合于床边检查，可用于肠壁积气的临床筛查。
目的：探討腸壁積氣X線平片以及CT的影像學錶現及臨床意義。方法：迴顧性分析2009年至2012年本院腹部X線平片及腹部C T髮現的10例腸壁積氣患者的臨床以及影像學資料，探討腸壁積氣的腹部X線平片以及C T的影像學特點及其臨床意義。結果：9例腹部X線髮現腸壁積氣共同特點為沿腸管壁的線狀、環狀、囊狀、泡狀透亮影。CT掃描軟組織窗及肺窗腸壁積氣特徵性錶現為沿腸壁的線狀、環狀、泡狀氣體密度影。10例腸壁積氣患者中9例臨床確診為新生兒壞死性小腸結腸炎，另1例為巨結腸患兒。結論：CT對腸壁積氣的診斷敏感性及特異性較X線平片高，X線平片應用比較廣汎，適閤于床邊檢查，可用于腸壁積氣的臨床篩查。
목적：탐토장벽적기X선평편이급CT적영상학표현급림상의의。방법：회고성분석2009년지2012년본원복부X선평편급복부C T발현적10례장벽적기환자적림상이급영상학자료，탐토장벽적기적복부X선평편이급C T적영상학특점급기림상의의。결과：9례복부X선발현장벽적기공동특점위연장관벽적선상、배상、낭상、포상투량영。CT소묘연조직창급폐창장벽적기특정성표현위연장벽적선상、배상、포상기체밀도영。10례장벽적기환자중9례림상학진위신생인배사성소장결장염，령1례위거결장환인。결론：CT대장벽적기적진단민감성급특이성교X선평편고，X선평편응용비교엄범，괄합우상변검사，가용우장벽적기적림상사사。
Objective To investigate the computed tomography (CT) and plain X-ray appearances of pneumatosis intestinalis (PI) and its clinical significance. Methods In a retrospective study of ten patients with PI between 2009 to 2012. Plain X-ray and CT appearances, clinical features were discussed. Results Nine patients with PI were diagnosed by plain X-ray, the other one by computed tomography (CT). On plain X-ray radiographs , PI appeared as linear or round or bubble or cystic radiolucencies. Computed tomography (CT) scan in soft-tissue window or in lung window PI appeared as linear or circumferential or bubbly density of the gas shadows. PI was present in nine cases of necrotizing enterocolitis, another one of hirschsprung disease. Conclusion CT had high sensitivity and specificity for diagnosed of PI, X-ray had wide application, suitable for bedside check, clinical can be used for screening.
