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多层螺旋CT对老年肠梗阻诊断的价值
引用本文:谢晓红,彭涛,陈云涛,朱丹. 多层螺旋CT对老年肠梗阻诊断的价值[J]. 放射学实践, 2007, 22(6): 577-579
作者姓名:谢晓红  彭涛  陈云涛  朱丹
作者单位:610081,成都,成都铁路中心医院放射科
摘    要:目的:探讨多层螺旋CT(MSCT)对老年肠梗阻的诊断价值.方法:对36例老年肠梗阻患者MSCT表现进行分析,其中30例行手术治疗,6例保守治疗.结果:MSCT准确显示肠梗阻的病例为100%.30例手术治疗患者中,28例手术结果与MSCT表现相符,包括肠道肿瘤15例,粘连性肠梗阻6例,腹外疝2例,胆石性肠梗阻2例,炎性作用引起的肠梗阻3例.结论:MSCT对老年肠梗阻的程度、梗阻部位及梗阻原因的诊断有重大意义,可作为肠梗阻的首选检查方法.

关 键 词:肠梗阻  体层摄影,X线计算机  诊断
文章编号:1000-0313(2007)06-0233-02
修稿时间:2006-05-182006-11-10

Bowel Obstruction in the Elderly:Correlation between MSCT and Surgical Findings
XIE Xiao-hong, PENG Tao, CHEN Yun-tao,et al.. Bowel Obstruction in the Elderly:Correlation between MSCT and Surgical Findings[J]. Radiologic Practice, 2007, 22(6): 577-579
Authors:XIE Xiao-hong   PENG Tao   CHEN Yun-tao  et al.
Affiliation:Department of Radiology,Chengdu Railway Central Hospital,Chengdu 610081, P. R. China
Abstract:Objective:To study the value of multi-slice spiral computed tomography (MSCT) in the diagnosis of bowel obstruction in the elderly.Methods:MSCT findings of bowel obstruction in 30 elderly patients were correlated with that of operation.Results:Diagnosis of bowel obstruction was made correctly before operation in all the 30 patients.Causes of obstruction identified by MSCT were consistent with surgical findings in 28 cases,including bowel masses (n=15),adhesions (n=6), external hernia (n=2),gallstones (n=2),inflammatory process (n=3).Conclusion:MSCT can accurately identify the presence and cause of bowel obstruction in the majority of the elderly.
Keywords:Intestinal obstruction   Tomography,X-ray computed    Diagnosis
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