比较影像学在胃肠病变检诊中的应用价值.pdfVIP

腹部与盆腔 TheValueofComparisonImageologytodiagnoseGastroenteropathy Huangjunshan,Ouyang Lin* Medicial imaging department of the 175TH hospital of PLA.(Affiliated hospital of Xiamen university),Zhangzhou,Fujian,363000 *Correspondenceauthor:ddcqzg@163.com Abstract Objective To explore the value of comparison imageology in diagnosing gastroenteropathy.MethodsandMaterials 94caseswithgastroenteropathieswereincludedin thisstudywho hadbeendiagnosedbyradiologyfromJan.2012to Dec.2012.Inthesecases,male were 52 aged from 2-81 years with median age 52 years,and female were 42 aged from 8-87 years with median age 59 years.Radiology examination methods were X-ray air-Ba double contrast radiography,CT plain scan,CT contrast enchancement(CT-CE) scan,CT angiography(CTA),MRI and digital substraction angiography(DSA).Took digestive endoscopy examinationand(or)operation-pathologicaldiagnosisobtainedbyfollowing-u asthe reference standardtoevaluatethediagnosticalcapabilityofimagingmethodsingastroenteropathy.Results In 94 cases,14 received X-ray air-Ba double contrast radiography,among them,12 directly got identify diagnosis,the other 2 got identify diagnosis by CT in further examination;68 received CT,among them,7 directly got identify diagnosis by CT plain scan,in further examination performedfor identifydiagnosis,57 byCT-CE, and in nextfurther examination,1 byX-ray air-Ba double contrast radiography, 1 by MRI,1 by DSA and 1 by operation research;11 received CTA,among them,8 directly got identify diagnosis and 3 by DSA in further examination.Only 1 cases received MRI butgot no identify diagnosis,further CT examination hel to get diagnosis. Conclusion Comparison imageology can make u the limitation of single imageology in diagnosinggastroenteropathies,significantly improvingthe diagnosticcapabilityofimageologyin gastroenteropathy. Keywords Gastroenteropathy;Diagnosis;Imagingdiagnosis;Multiplemodem