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螺旋CT诊断急性肠梗阻的临床价值
引用本文:李劲,梁宗辉,褚梅花,郝戈斌,杨明英,顾晓丽,叶涛,高信芳.螺旋CT诊断急性肠梗阻的临床价值[J].上海生物医学工程,2011(3):162-166.
作者姓名:李劲  梁宗辉  褚梅花  郝戈斌  杨明英  顾晓丽  叶涛  高信芳
作者单位:上海市静安区中心医院(复旦大学附属华山医院静安分院)放射科;复旦大学附属华山医院放射科;
摘    要:目的探讨螺旋CT在急性肠梗阻的诊断中的作用。方法 65例明确诊断的急性肠梗阻病例,回顾性分析其CT表现。结果 65例肠梗阻,其中完全性22例,不完全性43例;绞窄性为4例;肠肿瘤22例,肠扭转16例,腹内外疝5例。CT显示梗阻点位于小肠31例,结肠23例,小肠结肠均有11例;梗阻近段肠腔扩张,而远端肠腔萎陷;扩张的肠腔内可见气液平。靶征、鸟嘴征、缆绳征等具有诊断价值。增强后梗阻段肠壁异常强化。结论螺旋CT可以判断有无急性肠梗阻、梗阻部位、梗阻病因以及是否绞窄,是诊断急性肠梗阻的最重要的方法之一。

关 键 词:肠梗阻体层摄影术  线计算机  诊断

Clinical Value on Diagnosis of AcuteIntestinal Obstruction with Spiral CT
Li Jing,Liang Zonghui,Chu Meihua,Hao Gebin,Gu Xiaoli,Ye Tao,Gao Xinfang.Clinical Value on Diagnosis of AcuteIntestinal Obstruction with Spiral CT[J].Shanghai Journal of Biomedical Engineering,2011(3):162-166.
Authors:Li Jing  Liang Zonghui    Chu Meihua  Hao Gebin  Gu Xiaoli  Ye Tao  Gao Xinfang
Institution:Li Jing1,Liang Zonghui1,2,Chu Meihua1,Hao Gebin1,Gu Xiaoli1,Ye Tao1,Gao Xinfang1 1.Department of Radiology,Shanghai Jing'an District Centre Hospital(Shanghai 20040) 2.Department of Radiology,Huashan Hospital Affiliated to Fudan University
Abstract:Objective To investigate the role of spiral CT in diagnosis of acute intestinalobstruction.Methods 65 cases of confirmed acute bowl obstruction were included in this study and the manifestations of CT were analyzed retrospectively.Results In our population,22 cases of complete obstruction,43 cases of non-complete obstruction.There were 4 cases of strangulation confirmed by surgical and clinic;22 cases of tumor,16 cases of volvulus,5 cases of hernia.Spiral CT manifests 31 cases of small intestineobstruction,...
Keywords:intestinalobstruction  X-ray computer  tomography  diagnosis  
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