64排螺旋CT扫描对下消化道出血的诊断价值

魏道芹; 周茂义; 赵兴圣; 张东雯; 岳奎涛; 邵伟光; 李丽新; 刘静; 杨春波

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中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (8) : 569-571.

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64排螺旋CT扫描对下消化道出血的诊断价值

魏道芹，周茂义，赵兴圣，张东雯，岳奎涛，邵伟光，李丽新，刘静，杨春波

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Diagnostic value of 64 multi-detector row CT scanning for acute lower gastrointestinal hemorrhage

WEI Dao-qin, ZHOU Mao-yi, ZHAO Xing-sheng, ZHANG Dong-wen, YUE Kui-tao, SHAO Wei-guang, LI Li-xin, LIU Jing, YANG Chun-bo

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摘要

目的：探讨64排螺旋CT对不明原因下消化道出血的诊断价值。方法：回顾性分析2006年7月～2007年1月26例不明原因下消化道出血病例行64排螺旋CT扫描。结果：26例中结肠恶性肿瘤13例（50％），小肠间质瘤4例（15.3％），小肠套叠2例（7.6%），腹股沟斜疝3例（11.5％），肠系膜静脉血栓形成3例（11.5％），肠系膜血管畸形1例（3.8％），均经手术病理证实，其中4例肠系膜血管病变还由DSA证实。本组应用64排螺旋CT病变定位准确率100％，定性诊断正确率97％（1例炎性病变定性不清）。结论：64排螺旋CT对不明原因下消化道出血的定位、定性诊断和指导临床制定治疗方案均具有重要价值。

Abstract

Objective: To investigate the diagnostic value of 64 multi-detector rows CT for unknown cause of acute lower gastrointestinal bleeding. Methods: Multi-planar reconstruction and CT angiography of 64 multi-detector row CT were prospectively performed in 26 cases of unknown cause of lower gastrointestinal bleeding. Results: All 26 patients were confirmed by pathology including large intestinal tumor, 13 cases(50％）, intestinal tumor, 4 cases(15.3％), intestinal obstruction, 2 cases(7.6%), hernia, 3 cases(11.5%), acute mesenteric venous thrombosis(AMVT), 3 cases(11.5%), mesenteric arterio-venous fistula, 1 case(3.8%). The diagnostic accuracy was 97%, the accuracy of predicting lesion position was 100%. Conclusion: 64 multi-detector rows CT scanning has high value for detecting the cause of intestinal hemorrhage and detecting the site of intestinal lesion.

导出引用

魏道芹;周茂义;赵兴圣;张东雯;岳奎涛;邵伟光;李丽新;刘静;杨春波. 64排螺旋CT扫描对下消化道出血的诊断价值[J]. 中国临床医学影像杂志. 2007, 18(8): 569-571

WEI Dao-qin;ZHOU Mao-yi;ZHAO Xing-sheng;ZHANG Dong-wen;YUE Kui-tao;SHAO Wei-guang;LI Li-xin;LIU Jing;YANG Chun-bo. Diagnostic value of 64 multi-detector row CT scanning for acute lower gastrointestinal hemorrhage[J]. Journal of China Clinic Medical Imaging. 2007, 18(8): 569-571

中图分类号： Ｒ57 Ｒ814.42