探讨CT诊断绞窄性肠梗阻肠系膜及其血管改变的价值.docVIP

精品论文 参考文献 探讨CT诊断绞窄性肠梗阻肠系膜及其血管改变的价值 黄芝 贾贤达 冯金凤 　　(宣化区河北北方学院附属第二医院 河北 张家口 075100) 　　【摘要】目的：探讨CT对绞窄性肠梗阻肠系膜及其血管改变的诊断价值，为临床诊治提供参考依据。 方法：收集我院2013年1月至2014年10月绞窄性肠梗阻和单纯性肠梗阻患者CT影像资料各30例，分别分为观察组和对照组，对比观察两组患者肠管和肠系膜及其血管的CT影像改变，总结分析绞窄性肠梗阻影像学特点。结果：相比于单纯性肠梗阻患者，绞窄性肠梗阻患者肠壁增厚，出现靶征和同心圆征，肠壁积气、积液。肠系膜及其血管影像显示肠系膜水肿、出血，出现漩涡征及门静脉气栓，腹腔内积液或腹水，图像对比差异显著（P＜0.05），具有统计学意义。结论：经CT检查可明显观察到绞窄性肠梗阻患者肠壁、肠系膜及其血管的改变，对疾病诊治具有重要参考价值，CT可作为检查该疾病的首选方法。 　　【关键词】CT检查；绞窄性肠梗阻；单纯性肠梗阻；肠系膜；血管改变 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2015）03-0050-02 　　To explore the CT diagnosis of mesenteric strangulation obstruction and the value of the vascular changes Huang Zhi, Jia Xianda. Feng Jinfeng. The second affiliated hospital of Hebei North College ,Hebei province, Zhangjiakou 075100, China 　　【Abstract】 Objective To explore the CT of mesenteric strangulation obstruction and its diagnostic value of the blood vessel changes. Methods collected in January 2013 to October 2014 strangulation obstruction and simple intestinal obstruction in patients with CT image data each 30 cases, divided into observation group and control group respectively. Results compared with the simple intestinal obstruction patients, strangulation obstruction in patients with bowel wall thickening, target sign and concentric circles), intestinal wall pneumatosis, effusion. Mesenteric and vascular images revealed mesenteric edema, hemorrhage, such as image contrast significant difference (P lt; 0.05), with statistical significance. Conclusion The CT examination can obviously observed strangulation intestinal obstruction in patients with intestinal wall, mesenteric and the change of the blood vessels, have important reference value for diagnosis and treatment of disease, CT can be used as the preferred method of disease. 　　【Key words】CT examination; Strangulation obstruction; Simple intestinal obstruction; Mesenteric; Vascular changes 　　绞窄性肠梗阻是现在临床上的常见急腹症之一，多由肠系膜血管受压及血栓等原因引起，以肠道梗阻并伴有肠壁血运障碍为主要特征，严重者会造成肠管缺血坏死及溃破穿孔[1]，对患者