110例婴幼儿肠套叠多层螺旋CT诊断研究.doc

110例婴幼儿肠套叠多层螺旋CT诊断研究[摘要] 目的 探讨婴幼儿肠套叠的多层螺旋CT特点及其应用价值。方法 回顾性分析我院110例婴幼儿肠套叠的临床症状和多层螺旋CT显像的表现，总结其临床症状和CT特点。 结果 110例多层螺旋CT表现中，同心圆形分层肿块67例，弹簧样肿块16例，香蕉样肿块17例，不规则肿块10例。无一例漏诊。经诊断，患儿发生不完全肠梗阻72例，完全肠梗阻26例，肠道穿孔12例。所有患者都得到有效治疗。结论 多层螺旋CT可很好地判断婴幼儿肠套叠现象，可弥补空气灌肠和超声检查等缺点，可为临床更好地鉴别诊断和治疗提供有效依据。 [关键词] 肠套叠；螺旋CT；婴幼儿 [中图分类号] R445.3 [文献标识码] B [文章编号] 1673-9701（2011）22-88-02 Multi-slice Spiral CT in Diagnosis of Infants Intussusception：A Clinical Analysis of 110 Cases HE Zhongwei Department of Radiology，Ningbo City Women and Children Hospital，Zhejiang Province，Ningbo 315012，China [Abstract] Objective To explore the features and clinical value of multi-slice spiral CT in diagnosis of infant Intussusceptions. Methods 110 patients in our hospital diagnosed as intussusception of infants and young children were retrospectively analyzed and summarized the clinical symptoms and characteristics of multi-slice spiral CT imaging. Results 110 patients in the performance of multislice spiral CT，the layered concentric circular mass 67，spring-like mass in 16 cases，banana-like mass in 17 cases，10 cases of irregular mass phenomenon. None of the missed diagnosis. After diagnosis，patients with incomplete intestinal obstruction occurred in 72 cases，26 cases of complete intestinal obstruction，intestinal perforation in 12 cases. All patients receive effective treatment. Conclusion Spiral CT may well determine the phenomenon of infant intussusception，can make up air enema and ultrasound examination of the shortcomings，and it can be better for the clinical diagnosis and treatment to provide an effective basis for identification. [Key words] Intussusceptions；Spiral CT；Infant 肠套叠是婴幼儿常见的肠梗阻原因，为婴幼儿急腹症，患儿可出现大声哭闹、呕吐、果酱样粪便、血便等，如不能得到及时治疗，随着病情的发展，患儿可发生严重脱水、休克，甚至危及生命[1]。因此，如何更快更准确地对肠套叠进行诊断和治疗已成为临床重要课题。以往，对于婴幼儿肠套叠诊断常选用空气灌肠或者钡剂造影、超声检查等作为检查的方法，但是，经临床调查发现，这些检查都可能发生漏诊误诊[2]。而CT检查不但能及时准确地进行诊断，根据其显像特点还能判断患儿的严重程度。为更好地对婴幼儿肠套叠进行鉴别诊断，本文对110例患者的CT影像进行回顾性分析，现报道如下。 1 资料与方法 1.1 一般资料 110例患儿为2009年1月~2010年5月在我院进