摘要
目的:探讨螺旋CT低张增强扫描对胆囊十二指肠瘘的诊断价值,以便为临床治疗提供更为准确的依据。方法:对9例CT平扫高度怀疑胆囊十二指肠瘘的病人,进行螺旋CT低张增强扫描,然后利用软件进行后处理,得出诊断,并与手术结果进行比较。结果:9例病人中,螺旋CT能直接发现瘘口者6例,未发现瘘口者3例中,2例发现结石掉入肠道;1例高度怀疑胆囊十二指肠瘘,经手术确诊。结论:螺旋CT能较好的发现胆囊十二指肠瘘,低张增强扫描能很好地显示瘘口。
Objective： To evaluate the value of spiral CT hypotonic enhanced scan in diagnosing cholecystoduodenal fistula. Methods： During 2004 to 2006,we did spiral CT hypotonic enhancing scan to the nine patients who plain scan. And then we used diagnosis to the results of oper CT was able to find directly th other three. In these three, th other were highly suspected to have cholecystoduodenal fistula by CT software to undertake postprocessing. At last, we compared our ation. Results：By retrospective analyzing th e e orificium fistulae in calculus falling into six patients, but was entric were found in one were highly suspected to be the same matter which was finally e nine patients, spiral not able to find in the two patients, and proved by operati the on. Conclusion. The spiral CT was useful to find cholecystoduodenal fistula, and hypotonic enhancing scan can be helpful for directly discovering the orificium fistulae.
出处
《实用临床医学（江西）》
CAS
2007年第1期100-102,共3页
Practical Clinical Medicine
关键词
胆囊十二指肠瘘
螺旋CT
低张增强扫描
cholecystoduodenal fistula
spiral CT
hypotonic enhancing scan
