| 周春华,单毓强,朱玮,金慧成.小肠CT在高龄急性肠梗阻患者诊断中的价值[J].浙江中西医结合杂志,2015,25(6): |
| 小肠CT在高龄急性肠梗阻患者诊断中的价值 |
| The value of multi-slice spiral CT(MSCT) for diagnosing acute intestinal obstruction(AIO) of the elderlyZHOU Chun-hua,SHAN Yu-qiang,ZHU wei,JIN Hui-cheng.Department of Gastrointestinal Surgery,hangzhou hospital,nanjing medical university,zhejiang hangzhou 310006,China |
| 投稿时间：2014-09-23 修订日期：2014-11-07 |
| DOI： |
| 中文关键词: 急性肠梗阻 高龄患者 体层摄影术 X线计算机 诊断 |
| 英文关键词:Intestinal obstruction,acute The elderly Tomography X-ray computed Diagnosis |
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| 中文摘要: |
| 【】目的 分析小肠CT对高龄(>70岁)急性肠梗阻患者的诊断价值。方法 34例经手术病理证实的高龄急性肠梗阻患者,术前均行小肠CT检查(平扫 增强),利用工作站获得重建图像。回顾性分析其影像学表现,并与手术结果对照。结果 梗阻部位：小肠6例,回盲部8例,结肠14例,直肠6例。梗阻原因：肿瘤18例,肠粘连8例,息肉伴肠套叠4例,粪石2例,股疝伴嵌顿2例。与手术结果对照,小肠CT对梗阻部位定位的准确率为94%(32/34),定性诊断的准确率为82%(28/34)。结论 小肠CT在高龄急性肠梗阻患者的梗阻部位和梗阻病因诊断上具有较高的诊断价值。 |
| 英文摘要: |
| Objective To analyze the value of MSCT for diagnosing acute intestinal obstruction of the elderly(>70 years old).Methods Thirty-four old patients with surgically and pathologically proved AIO were performed pre-contrast and contrast MSCT scan of the whole abdomen pre-operation,CT data was transmitted to workstation and reconstruction was performed.CT findings were retrospectively analyzed and compared with intro-operation findings.Results The location of AIO in this group include small intestinal(n=6),ileocecum(n=8),colon(n=14),rectum(n=6).The cause of obstruction include neoplasm(n=18),adhesion(n=8),polyp with intussusception(n=4),bezoar(n=2) and incarcerated femoral hernia(n=2).Contrast to operation and pathology,the location accuracy of CT for diagnosing AIO was 94%(32/34),while the pathogenic accuracy was 82%(28/34).Conclusion MSCT scan of the whole abdomen could clearly visualize the location of AIO of the elderly,simultaneously,it has also certain value in the qualitative diagnosis. |
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