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粘连性肠梗阻的多层螺旋CT成像特征
引用本文:郭永强,涂大有,赖菊花,王哲波,黄文瑜. 粘连性肠梗阻的多层螺旋CT成像特征[J]. 中国CT和MRI杂志, 2009, 7(5): 67-69
作者姓名:郭永强  涂大有  赖菊花  王哲波  黄文瑜
作者单位:1. 影像科,福建省永安市立医院,366000
2. 普外科,福建省永安市立医院,366000
3. 福建省三明市第二医院,病理科
摘    要:目的探讨粘连性肠梗阻的多层螺旋CT成像特征。方法7例手术证实为粘连性肠梗阻患者,术前均行全腹多层螺旋CT扫描,并以手术及病理结果为标准,评价多层螺旋CT成像特征及图像后处理MPR的应用价值。结果7例粘连性肠梗阻患者,其中23例非癌性粘连,螺旋CT清楚显示梗阻近端肠管扩张,梗阻移行处肠管塌陷或锯齿鸟嘴状,移行带光滑,未见明确器质性病变;5例癌性粘连,清楚显示梗阻移行处或周围网膜、系膜有大小不等结节灶,而2例术后证实为癌性粘连CT不能作出癌性诊断;7例绞窄性肠梗阻显示肠壁增厚,密度减低或增高,肠壁增强明显减弱或无强化,肠壁积气,肠系膜水肿或血管增粗,腹水等特征性影像。结论多层螺旋CT对诊断粘连性肠梗阻具有重要的临床应用价值。

关 键 词:粘连  肠梗阻  体层摄影术  X线计算机

Adhesive ileus of the multi-slice spiral CT imaging features
Guo Yong-qiang,Wang Zhe-bo,Huang Wen-yu,et al.. Adhesive ileus of the multi-slice spiral CT imaging features[J]. , 2009, 7(5): 67-69
Authors:Guo Yong-qiang  Wang Zhe-bo  Huang Wen-yu  et al.
Affiliation:Guo Yong-qiang,Wang Zhe-bo,Huang Wen-yu,et al.Department of Radiology,Yong'An Municipal Hospital,Fujian 366000,China
Abstract:Objective To discuss adhesive ileus features of multi-slice spiral CT imaging. Methods Confirmed 37 cases of surgery for patients with adhesive ileus,underwent preoperative abdominal-wide multi-slice spiral CT scan,and the results of surgery and pathology as the standard to evaluate the characteristics of multi-slice spiral CT imaging and image post-processing of the application of the value of MPR. Results 37 cases of patients with adhesive ileus,among them ,23 cases of non-cancerous adhesions,obstruction ...
Keywords:adhesions  ileus  tomography  X-ray computed  
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