| 胆囊十二指肠内瘘伴胆石性肠梗阻的CT诊断价值分析 |
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| 引用本文： | 刘秀娟,孙娜,姜洪.胆囊十二指肠内瘘伴胆石性肠梗阻的CT诊断价值分析[J].医学影像学杂志,2011,21(10):1501-1503. |
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| 作者姓名： | 刘秀娟 孙娜 姜洪 |
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| 作者单位： | 1. 哈尔滨医科大学附属第一医院CT室 黑龙江哈尔滨150001
2. 黑龙江省医院影像科 黑龙江哈尔滨150001 |
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| 摘 要： | 目的:评价螺旋CT对胆囊-十二指肠内瘘伴胆石性肠梗阻的诊断价值。方法:对8例经手术证实为胆囊-十二指肠内瘘伴胆石性肠梗阻的螺旋CT表现及重建技术进行回顾性分析。结果:8例患者中,2例胆石位于十二指肠降段;2例位于空肠;1例位于空回肠交界处;另外3例位于回肠内。胆石短径为(4.70±1.20)cm,长径为(6.09±1.90)cm。胆囊-十二指肠内瘘伴胆石性肠梗阻的CT直接征象主要有瘘口的显示以及胆石位于梗阻段肠腔内;间接征象主要有胆囊及胆道积气;胆囊塌陷及胆囊与十二指肠分界模糊、结构紊乱;肠梗阻。以上两种直接征象若同时存在即可作出诊断,如一种直接征象同时伴有两种或两种以上间接征象亦可作出诊断。结论:胆囊-十二指肠内瘘伴胆石性肠梗阻具有典型的CT表现,螺旋CT能够对其作出明确诊断。
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| 关 键 词： | 胆囊十二指肠瘘 胆石 肠梗阻 体层摄影术 X线计算机 |
CT value analysis in diagnosing cholecystoduodenal fistula complicating gallstone ileus |
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| LIU Xiu-juan,SUN Na,JIANG Hong.CT value analysis in diagnosing cholecystoduodenal fistula complicating gallstone ileus[J].Journal of Medical Imaging,2011,21(10):1501-1503. |
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| Authors: | LIU Xiu-juan SUN Na JIANG Hong |
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| Institution: | LIU Xiu-juan1,SUN Na1,JIANG Hong2 1.CT Room,The First Affiliated Hospital of Harbin Medical University,Heilongjiang,Harbin 150001,P.R.China 2.Department of Imaging,Heilongjiang Province Hospital,P.R.China |
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| Abstract: | Objective:To investigate the value of spiral computed tomography in diagnosing cholecystoduodenal fistula complicating gallstone ileus.Methods:Eight cases of cholecystoduodenal fistula complicating gallstone ileus proved by operations were retrospectively analyzed according to the CT findings and reconstruction techniques.Results:In the eight patients,the ectopic gallstones were wedged in the descendant portion of duodenum(n=2),jejunum(n=2),jejunoileum juncture(n=1) and ileum(n=3).The short diameter of ecto... |
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| Keywords: | Cholecystoduodenal fistula Gallstone Ileus Tomography X-ray computed |
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