两种口服造影剂在CT小肠造影中对比研究.docVIP

两种口服造影剂在CT小肠造影中对比研究 　　[摘要] 目的 对比两种口服造影剂在多层螺旋CT小肠造影中的应用。 方法 44例临床患者（40～60岁）随机分为两组，分别使用常规法（碘伏醇水溶液）和改良法（甘露醇+碘伏醇水溶液）进行多层螺旋CT全腹扫描。按影像学解剖将小肠分为6段（1段为十二指肠，2段为空肠近端，3段为空肠远端，4、5、6段为回肠），用双盲法对两组图像中小肠肠腔充盈度进行评价及统计学分析。 结果 改良法对2、3、4段小肠肠腔充盈度均优于常规法，差异有统计学意义（P＜0.05）；对1、5、6段小肠肠腔充盈度，两法差异无统计学意义（P均＞0.05）。 结论 改良法对空肠及回肠上端肠腔充盈效果优于常规法，口服造影剂改良法的研究对多层螺旋CT小肠造影检查有一定意义。 　　[关键词] 造影剂；小肠造影 　　[中图分类号] R816.5 [文献标识码] B [文章编号] 1673-9701（2012）02-0095-02 　　 　　Study and compare two oral contrast agents in CT enterography of small intestines 　　XING Xiaohui1 WU Zhifeng2 E Linning2 　　1.Department of Medical Imaging, Shanxi Medical University, Taiyuan 030001, China；2.Department of CT, the First Clinical Medical College, Shanxi Medical University, Taiyuan 030001, China 　　[Abstract] Objective To compare two oral contrast agents in multi-slice spiral CT enterography of small intestines. Methods Fourty-four patients (40-60 years old) were randomly divided into two groups and underwent conventional or optimized methods for multi-slice spiral CT total abdominal plain scan. According to the anatomy imaging divided small intestine into 6 sections, with the double blind method on 2 groups of images in the intestinal lumen of filling degree evaluation and statistical analysis. Results Optimized method was superior to conventional method in the expansion degree of the 2, 3 and 4 segments of the small intestine (P＜0.05). There was no significant differences between two groups of conventional or optimized methods on the other segments of the small intestine (P＞0.05). Conclusion Improvement on jejunal and upper ileal intestinal cavity filling effect is better than the routine method, modified method of oral contrast agent for multi-slice spiral CT angiography has certain significance of small intestine. 　　[Key words] Contrast agent; Small intestine imaging 　　 　　小肠是人体胃肠道中最长的一段肌性管道，是消化与吸收营养物质的重要场所，同时肩负内分泌功能[1]。小肠病变虽不如胃和大肠病变多见，但也并非罕见，主要包括梗阻、缺血、肿瘤、炎症性肠病等；很多小肠疾病不但侵及肠壁、向腔内发展，还穿透肠壁向腔外浸润。小肠是胃镜、结肠镜检查的盲区，口服钡剂小肠造影费时，肠腔充盈不佳[2