128层螺旋CT对肠梗阻的诊断价值

目的：探讨多层螺旋CT（muhislicse computed tomography，MSCT）在肠梗阻诊断中的应用价值。方法：对48例经128层MSCT检查诊断为肠梗阻的病例进行回顾性分析。结果：48例患者MSCT诊断结果均与术后病理结果或临床随访结果相符合，48例肠梗阻中，粘连21例，肿瘤6例，肠套叠5例，嵌顿疝4例，先天性巨结肠1例，麻痹性3例，粪石2例，肠扭转6例，CT对急性肠梗阻病因诊断符合率为91.66%（44/48）。结论：128层MSCT检查能显著提高肠梗阻存在与否、对梗阻病因、有无绞窄诊断准确率高，对诊断急性肠梗阻有很高的价值。

Diagnostic Value of Intestinal Obstruction with MSCT Scanning

Objective：To discuss the diagnostic value of intestinal obstruction with MSCT scanning.Method：48 cases of bowel obstruction diagnosed by 128 slice MSCT were retrospectively analyzed and discussed.Result：MSCT diagnosis of 48 cases was consistent with the results of surgical finds or clinical follow-up.48 cases of intestinal obstruction included 21 cases of adhesion,6 cases of neoplasm,5 cases of intussusceptions,4 cases of incarcerated hernia,1 case of hirschsprung’s disease,3 cases of paralysis,2 cases of bezoars,6 cases of volvulus.The coincidence rate of MSCT diagnosis was 91.66%（44/48）.Conclusion：MSCT can correctly diagnose the presence of the illness,as well as its causes and strangulation .MSCT has a high value in the evaluation of acute intestinal obstruction.