摘要
目的 :探讨CT检查对肠梗阻的诊断价值。方法 :对 3 6例肠梗阻患者的腹部X线平片和CT表现进行分析。其中 2 4例行手术治疗 ,12例行胃肠减压、抗感染保守治疗。 12例有腹部手术史。结果 :腹部X线平片和CT准确显示梗阻程度的病例分别为 2 0例 ( 5 5 .6% )和 3 4例 ( 94.4% )。CT直接准确诊断梗阻病因 19例 ,包括结肠直肠癌 16例 ,肠系膜囊肿伴绞窄性肠梗阻 1例 ,结肠淋巴瘤合并肠套叠 1例 ,结肠脂肪瘤合并肠套叠 1例。 12例有腹部手术史者中 10例为粘连性肠梗阻 ,2例为麻痹性肠梗阻 ,结合手术史 ,CT诊断无误。结论 :对梗阻病因的判断CT明显优于腹部X线平片 ,CT可显示狭窄移行段的形态 ,有助于判断病因 ,可为临床确定治疗方案提供较可靠的依据。
Objective:To assess the value of computed tomography in diagnosis of intestinal obstruction.Methods:CT and plain abdominal radiography in 36 cases with intestinal obstruction were analyzed.Surgical operations were done in 24 cases,while conservative treatment with gastrointestinal decompression and anti-inflammatory agent was adopted in 12 cases.Twelve cases had history of abdominal surgical operation.Results:Plain film and CT made accurate diagnosis in 20 and 34 cases respectively.Etiological diagnosis was made by CT accurately in 19 cases, this included:16 colorectal carcinoma,1 mesenteric cyst in association with intestinal volvulus,1 lymphoma of colon in association with intussusception, 1 lipoma of colon in association with intussusception.Combined with history of abdominal surgical operation,CT could make accurate etiological diagnosis in 31 cases.Conclusion:As to find the cause of obstruction,CT is superior to the plain abdominal radiography.CT can show the configuration of narrowed segment of intestine,thus to evaluate the nature of the disease and provide suggestions for the therapeutic planning.
出处
《放射学实践》
2004年第4期264-266,共3页
Radiologic Practice
