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MSCT在小肠机械性梗阻中的应用
引用本文:殷瑞根,彭卫斌,冷菊宇,孙维兵,赵亮,王冬青,单秀红.MSCT在小肠机械性梗阻中的应用[J].实用医学影像杂志,2003,4(6):333-336.
作者姓名:殷瑞根  彭卫斌  冷菊宇  孙维兵  赵亮  王冬青  单秀红
作者单位:江苏大学附属医院影像科,镇江市,212001
摘    要:目的:探讨多层螺旋CT(MSCT)在小肠机械性梗阻诊断中的临床应用价值方法回顾性分析经手术或临床证实的32例小肠机械性梗阻的临床资料及CT表现。其中男性19例,女性13例,年龄11岁~78岁,急性肠梗阻7例、慢性肠梗阻25例。结果:完全性小肠梗阻9例,不完全性小肠梗阻23例;本组MSCT诊断小肠梗阻的敏感性为100%,特异性为75%,准确率97.2%,29例病因诊断正确(87.8%).结论:MSCT是诊断小肠机械性梗阻敏感、特异的影像学检查方法,特别是在诊断梗阻原因方面有较高价值。

关 键 词:小肠  梗阻  体层摄影术  X线计算机
文章编号:1009-6817(2003)06-0333-04
修稿时间:2003年8月11日

The application of MSCT in diagnosis of small bowel obstruction
Yin Ruigen,Peng Weibin,Leng Jyyu,et al..The application of MSCT in diagnosis of small bowel obstruction[J].Journal of Practical Medical Imaging,2003,4(6):333-336.
Authors:Yin Ruigen  Peng Weibin  Leng Jyyu  
Institution:Yin Ruigen,Peng Weibin,Leng Jyyu,et al. Department of Radiology,The Affiliated Hospital of Jiangsu University,Zhenjiang 212001
Abstract:Objective To study the value of clinical application of multi- slice computed tomography(MSCT) in diagnosis of small bowel obstruction. Methods CT and clinical findings in 32 cases proved by operation and clinical were analysed. The age ranged from 11 to 78 years, male 19 cases, female 13 cases. There were 7 acute small bowel obstructions, and 25 chronic obstructions in this study. Results Complete obstruction was found in 9 cases, and partial obstruction in 23 cases. The sensitivity of MSCT in diagnosing small bowel obstruction in this study was 100 % , the specificity was 75 % , and the accuracy was 97.2 % . The accurate etiologic diagnosis could be made by MSCT in 29 cases (87.8 % ) . Conclusion MSCT is both sensitive and specific for use in diagnosing small bowel obstruction, especially in identifying the cause of obstruction.
Keywords:Small bowel  Obstruction  Tomography  X- ray computed  
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