小肠梗阻影像诊断分析

目的探讨不同影像检查对小肠梗阻的诊断价值。方法对26例疑诊小肠梗阻患者,均行腹部CT平扫,口服76%泛影脯胺100ml行小肠造影检查。结果小肠造影检查提示不全肠梗阻16例,肠梗阻5例。CT显示小肠梗阻15例,肠腔积气积液11例。结论口服泛影脯胺造影检查对临床难以确诊的肠梗阻患者能提供影像依据,尤其对诊断不全性肠梗阻具有优越性,CT对诊断不全性小肠梗阻的困难,对发现小肠梗阻病因具有一定优势。

Analysis of Imaging Diagnosis of Small Intestinal Obstruction

Objective To explore the value of variant imaging examination in the diagnosis of small intestinal obstruction. Methods All of 26 cases suspected of small intestinal obstruction were performed CT plane scan, and then taking 76% urografin 100 ml orally to carry out small intestinal opacification. Results Incomplete obstruction were shown in 16 cases by small intestinal opacification, small intestinal obstruction were shown in 15 cases by CT, pneumatosis and hydrops in enteric cavity in 11 cases. Conclusion Small intestinal opacification can provide eikonic evidence for patients with intestinal obstruction when hard to get a definite diagnosis by clinic. It has superiority in diagnosing incomplete obstruc- tion especially when hard to diagnose incomplete small intestinal obstruction by CT, and in discovering the cause of small intestinal obstruction.