摘要
目的:探讨粘连性肠梗阻的CT征象及诊断。方法:行腹部CT平扫及增强扫描,回顾性分析经手术病理和临床随访结果证实的54例粘连性肠梗阻的CT征象。结果:CT检查发现粘连索条和腹腔束带46例。粘连段肠管改变54例,包括肠管皱缩42例,梗阻部位鸟嘴征15例,肠袢粘连成团5例。移行区炎症4例,恶性肿瘤腹腔转移恶性粘连4例。肠绞窄征象5例。结论:CT能明确诊断粘连性肠梗阻及其原因,并有效提示肠绞窄。
Abstract
Objective: To explore the CT signs and diagnosis of adhensive intestinal obstruction. Methods: CT signs in 54 cases of patients with adhensive intestinal obstruction proved by surgery or clinical follow-up were analyzed retrospectively, pre- and post-contrast CT scan of the abdomen were performed. Results: CT findings include adhensive stripe and abdominal band obstruction in 46 cases, bowel changes at adhensive zone in 54 cases, including bowel shrink 42, beak sign 15, bowl adhension form gobbet in 5, inflammation in transitional zone in 4, metastatic foci in transition zone in 4. Conclusion: CT can diagnose adhensive intestinal obstruction correctly, and promote the diagnostic accuracy of strangulated intestinal obstruction.
关键词
肠梗阻 /
体层摄影术 /
X线计算机
Key words
intestinal obstruction /
tomography /
X-ray computed
王彦华;张晓莹;唐 震.
粘连性肠梗阻的CT诊断[J]. 中国临床医学影像杂志. 2006, 17(10): 575-577
WANG Yan-hua;ZHANG Xiao-ying;TANG Zhen.
CT diagnosis of adhensive intestinal obstruction[J]. Journal of China Clinic Medical Imaging. 2006, 17(10): 575-577
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