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旋转不良伴中肠扭转的X线、CT表现
引用本文:孙凤霞,刘平,王飞.旋转不良伴中肠扭转的X线、CT表现[J].河南科技大学学报(医学版),2008,26(3).
作者姓名:孙凤霞  刘平  王飞
作者单位:新乡医学院第一附属医院,河南卫辉,453100
摘    要:目的 探讨X线、CT扫描对肠旋转不良伴中肠扭转的诊断价值.方法 回顾分析经手术证实的VIM16例.10例行腹部立卧位平片检查;13例行上消化道造影,7例行钡灌肠;6例行Cr检查,其中2例行增强CT扫描.结果 腹部立卧位平片2例见"双泡征",小肠内不含气或含气较少;2例表现中上腹管状充气伴狭细短跨度肠段.上消化道造影示十二指肠完全梗阻5例;十二指肠不完全梗阻8例,见"飘带征".钡灌肠回盲部位于右上腹3例,中上腹2例,左上腹2例.4例非新生儿病例CT显示肠系膜根部类团块影,见典型"漩涡征",毗邻肠袢扩张,肠系膜静脉不同程度淤积扩张.结论 上消化道造影、CT对肠旋转不良伴中肠扭转的诊断具有重要价值.

关 键 词:肠旋转不良  中肠扭转  X线摄影术  体层摄影术  X线计算机

X-ray,CT Findings of Volvulus in Intestinal Malrotation
SUN Feng-xia,LIU Ping,WANG gei.X-ray,CT Findings of Volvulus in Intestinal Malrotation[J].Journal of Henan University of Science & Technology:Medical Science,2008,26(3).
Authors:SUN Feng-xia  LIU Ping  WANG gei
Institution:SUN Feng-xia,LIU Ping,WANG Fei(First Affiliated Hospital,Xinxiang Medical College,Xinxiang 453100,China)
Abstract:Objective To analyze X-ray,CT findings of volvulus in intestinal malrotation(VIM),and to explore their value. Methods 16 cases of VIM proved by surgery were analyzed retrospectively.X-ray plain films were performed in 10 cases.Upper gastrointestinal barium radiography in 13 cases,Barium enema in 7 cases,and CT in 6 cases,CE-CT in 2 cases simultaneously. Results X-ray plain film: double-bulb signs were revealed in 2 cases,no or less air in the small intestine.Inflatable,narrow and short span in the upper and...
Keywords:intestinal malrotation  midgut volvulus  tomography  X-ray computed  
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