| 胆石性肠梗阻的影像学诊断 |
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| 引用本文： | 缪小芬,陆健,孙春锋,石甜甜,梁宏伟,朱纪吾. 胆石性肠梗阻的影像学诊断[J]. 临床放射学杂志, 2010, 29(3) |
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| 作者姓名： | 缪小芬 陆健 孙春锋 石甜甜 梁宏伟 朱纪吾 |
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| 作者单位： | 1. 南通市第三人民医院放射科,江苏南通,226006
2. 南通大学附属医院放射科,226000 |
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| 摘 要： | 目的探讨胆石性肠梗阻的影像诊断价值。资料与方法回顾性分析7例经手术或内镜证实的胆石性肠梗阻患者的影像资料及临床表现,影像检查包括立卧位腹部平片7例,消化道碘水造影1例,CT检查6例,MRI检查2例。结果7例患者皆有程度不等的肠梗阻表现。6例CT检查见肠腔内异位结石,7例腹部平片中2例显示肠腔内异位结石,MRI检查的2例均见肠腔内异位结石,1例消化道造影示十二指肠充盈缺损,误为肿瘤性病变。腹部平片2例见胆囊区积气,6例CT见胆囊积气、胆囊窝结构紊乱,其中2例胆囊与十二指肠内气体相通,1例MRI显示胆囊与十二指肠间有高信号液体相通。结论胆石性肠梗阻影像检查中腹部平片除明确肠梗阻外,仔细寻找肠内阳性结石会对诊断有帮助,CT与MRI均能明确诊断,价值相仿。
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| 关 键 词： | 胆结石 肠梗阻 影像学诊断 |
Imaging Diagnosis of Gallstone Ileus |
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| MIAO Xiaofen,LU jian,SUN chunfeng,et al.. Imaging Diagnosis of Gallstone Ileus[J]. Journal of Clinical Radiology, 2010, 29(3) |
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| Authors: | MIAO Xiaofen LU jian SUN chunfeng et al. |
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| Affiliation: | MIAO Xiaofen,LU jian,SUN chunfeng,et al.Department of Radiology,No.3 Hospital of Nanton,Jiangsu 226006,P.R.China |
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| Abstract: | Objective To evaluate the imaging diagnostic value of gallstone ileus.Materials and Methods The image findings of 7 patients with gallstone ileus confirmed by surgery were retrospectively reviewed.Imaging examinations included abdominal plain film in 7 cases,G I barium in 1 case,abdominal CT in 6 cases,and MR imaging in 2 cases.Results Signs of ileus were found in all cases.Ectopic stones were seen on CT images,abdominal plain film and MR images in 6,2 and 2 cases respectively.One case with filling defect i... |
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| Keywords: | Cholelithiasis Intestinal obstruction Imaging diagnosis |
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