64排螺旋CT胆道成像诊断梗阻性黄疸的临床价值

目的：评价64排螺旋CT胆道成像诊断梗阻性黄疸的临床价值。方法梗阻性黄疸患者94例，对其分别采取64排螺旋CT胆道成像诊断、磁共振成像（MRI）联合磁共振胆胰管水成像（MRCP）检查，对两种诊断方式的临床疾病诊断率进行分析比较。结果采取64排螺旋CT胆道成像诊断疾病诊断准确率93.62%明显高于采取MRI联合MRCP检查的疾病诊断准确率81.92%，差异有统计学意义（P＜0.05）。结论给予梗阻性黄疸患者64排螺旋CT胆道成像诊断，清晰显示患者胆道占位性病变及立体结构关系的同时，提供强大后处理功能，有较高的疾病诊断价值。

Clinical effect analysis of 120 cases of pediatric intussusception

Objective To investigate the etiology, mechanism, misdiagnosis and treatment methods of pediatric intussusception.Methods Analyzed clinical data of 120 cases of pediatric intussusception, then compared and observed the therapeutic effect.Results There were 116 cases of primary intussusception, out of which, 71 cases of obesity children（59.2%）; 62 cases of artificial feeding（51.7%）; 16 cases of misdiagnosed（13.3%）, 86 cases of manual reduction（71.7%）. 34 cases of surgical reduction. 4cases of secondary intussusception, caused by intestinal organic disease.Conclusion The incidence of primary intussusception in children is relate to feeding, obesity and viral infection. Some children with intussusception, their symptoms are not typical which is easy to diagnose, we can make our comprehensive judgment with ultrasound and air enema examination. Nonsurgical treatment of pediatric intussusception has many characteristics, such as less pain, shorter hospitalization time, and so on.