多层螺旋CT增强扫描对闭合性肠和肠系膜损伤的诊断价值

目的探讨多层螺旋CT增强扫描在闭合性肠和肠系膜损伤中诊断中的应用价值。方法对珠海市第二人民医院及珠海市第五人民医院2010年1月—2014年6月期间所收治的124例闭合性肠及肠系膜损伤患者为研究对象,将其随机分为对照组与观察组各62例,分别进行多层螺旋CT增强扫描与CT扫描,总结各种征象的临床意义,并对两种诊断方法的准确率进行比较。结果该组病例中十二指肠损伤26例,空回肠及系膜损伤21例,结肠及系膜损伤9例,多处肠壁及系膜损伤6例。多层螺旋CT增强检查的诊断符合率为100.0%,CT平扫的诊断符合率为90.3%,组间比较差异有统计学意义（P〈0.05）。结论多层螺旋CT增强扫描能对闭合性肠和肠系膜损伤的部位和病变类型作出快速、准确地判断,为临床制定治疗方案的提供可靠依据。

The Value of Multi-slice Spiral CT Enhanced Scanning in the Diagnosis of Closed Bowel and Mesenteric Injury

Objective To investigate the application value of multi-slice spiral CT enhanced scanning in the diagnosis of closed bowel and mesenteric injury. Methods 124 patients with closed bowel and mesenteric injury admitted in The Second People＇s Hospital of Zhuhai and The Fifth People＇s Hospital of Zhuhai from January 2010 to June 2014 were selected as the subjects. The patients were randomly divided into the control group and the observation group with 62 cases in each, and given multi-slice spiral CT enhanced scanning, CT scanning, respectively. The clinical significance of various symptoms was summarized, and the diagnostic accuracies of these two ways were compared. Results Of this group of patients, there were 26 cases with injury in duodenum,21 cases in jejunoileum and mesenterium, 9 cases in colon and mesentery, 6 cases in most bowel wall and mesentery. The diagnostic accordance rate of multi-slice spiral CT enhanced scanning was 100.0%, and that of CT scanning was 90.3%, the difference between the groups was statistically significant（P〈0.05）. Conclusion Multi-slice spiral CT enhanced scanning can determines the location of closed bowel and mesenteric injury and the type of lesions fast and accurately, which provides a reliable basis for formulating treatment schemes clinically.