机械性肠梗阻多层螺旋CT诊断及其临床意义.docVIP

机械性肠梗阻多层螺旋CT诊断及其临床意义[摘要] 目的 探讨多层螺旋CT（MSCT）对机械性肠梗阻的诊断价值及其临床意义。方法 回顾分析2008年6月～2011年2月我院经手术及病理检查证实为机械性肠梗阻58例患者的MSCT扫描结果。结果 MSCT初诊与手术病理或全愈随访复查相符54例，敏感性94.3%，特异性91.3%，准确率93.1%。引起梗阻的主要病因有肠粘连、肠肿瘤、肠扭转、肠套叠、结石及粪石等。不同原因引起机械性肠梗阻的MSCT影像表现各具特征。结论 MSCT对机械性肠梗阻诊断及鉴别诊断具有重要的临床意义。 [关键词] 机械性肠梗阻；多层螺旋CT；临床意义 [中图分类号] R816.5 [文献标识码] B [文章编号] 1673-9701（2011）20-108-03 Multi-slice Spiral CT Diagnosis and Its Clinical Significance for Mechanical Intestinal Obstruction XU QihuaiWANG FengfuXU XiaojianXIN HongweiQI Hongbo Department of Radiology，Yuyao Traditional Chinese Medical Hospital of Zhejiang Province，Yuyao 315400，China [Abstract] Objective To investigate the value and clinical significance of multi-slice spiral CT（MSCT） in the diagnosis of mechanical intestinal obstruction. Methods From June 2008 to February 2011，58 patients with mechanical intestinal obstruction determined by surgery and pathology in our hospital were retrospected and their MSCT scan results were analyzed. Results 54 patients MSCT results were consistent with surgery and pathology or follow-up examination after cure. Sensitivity and accuracy were 94.3%，91.3% and 93.1%，respectively. The main causes of intestinal obstruction included adhesions，intestinal cancer，volvulus，intussusception，stones and bezoars and so on. MSCT imaging performance had each characteristics associated with different causes of mechanical intestinal obstruction. Conclusion MSCT has important clinical significance for diagnosis and differential diagnosis of mechanical intestinal obstruction. [Key words] Mechanical intestinal obstruction；Multi-slice spiral CT；Clinical significance 机械性肠梗阻是常见的急腹症之一，占急腹症的20%，常见病因有肠肿瘤、肠粘连、肠扭转、肠套叠、肠内疝、结石及粪石等，引起肠腔狭窄和阻塞，使肠内容物不能通过[1]。影像检查在其诊断方面具有重要的参考价值。既往影像检查主要是立位腹平片或超声，CT检查较少使用在空腔脏器病变的诊断方面[2]。近年来，临床研究发现多层螺旋CT（multi-slice spiral computed tomography， MSCT）在确诊有无肠梗阻以及了解梗阻的部位、程度、性质及梗阻原因上发挥了重要的作用[3]。本文回顾分析了2008年6月～2011年2月我院收治的机械性肠梗阻58例，探讨MSCT对机械性肠梗阻的诊断价值。 1资料与方法 1.1一般资料 本组共收集了2008年6月～2011年2月我院收治的肠梗阻患