肠系膜血管漩涡征非肠道疾病人群的CT研究.doc

腹部CT影像中肠系膜血管漩涡征对肠扭转的诊断价值 毛 芸1，范 晓2，李咏梅1，罗天友1 (重庆医科大学：1附属第一医院放射科,重庆 400016，2附属儿童医院放射科，重庆 400014) 摘 要：目的 评价肠系膜血管旋涡征在腹部多层螺旋CT图像中的显示率及形态学特点，明确其作为肠扭转的特异性征象的诊断可靠性。方法 回顾性分析626例行全腹部CT平扫及双期增强扫描病例图像。以肠系膜血管伴或不伴肠管绕轴旋转角度至少大于90o作为漩涡征的判断标准，由2名经验丰富的医师对是否存在肠系膜血管漩涡征、漩涡征形态特点（位置，旋转方向，旋转角度，旋转段血管起止点间直线距离，旋转半径）及伴随征象进行评估,并比较肠扭转及非肠扭转病例组中漩涡征各项特征的差异性。结果 在626例病例中，CT发现72例肠系膜血管漩涡征，其中64例出现在非肠扭转病例组（显示率约10.4%），8例出现在肠扭转病例组（显示率约88.9%）。所有8例肠扭转病例的肠系膜血管漩涡征均伴有肠管漩涡征，6例伴肠系膜上动脉狭窄。非肠扭转病例漩涡征中仅2例伴肠管漩涡征，无1例肠系膜上动脉狭窄。肠系膜血管漩涡征在肠扭转及非肠扭转病例组间比较结果显示旋转角度及旋转段血管起止点间直线距离存在统计学差异。结论 肠系膜血管漩涡征的形态学特征及三维重建图像分析有助于鉴别肠扭转与伴有漩涡征的非肠扭转病例。不难结论非讨论，请重新总结。建议：肠系膜血管漩涡征的 结论非讨论，请重新总结。 建议：肠系膜血管漩涡征的……形态学特征及三维重建图像，对肠扭转…… 关键词：肠扭转；肠系膜；体层摄影术；X线计算机 中图法分类号： 文献标识码：A Diagnostic value of the whirl sign of mesenteric vessels for volvulus in abdominal CT scan请根据中文修改 请根据中文修改 （下面是根据本文编辑建议修改的中文题名译成的英文题名） Diagnostic value of morphological characteristics of mesenteric vessel whirl sign and its three-dimensional images for volvulus MAO Yun1, FAN Xiao 2, LI Yong-mei1, LUO Tian-you1 (1.Department of Radiology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016,China; 2.Department of Radiology, Affiliated Childrens Hospital of Chongqing Medical University, Chongqing 400014,China) Abstract：Objective To evaluate the detection rate and morphological characteristics of mesenteric vessel whirl sign on abdominal spiral CT images and the diagnostic reliability of volvulus using mesenteric vessel whirl sign as its specific sign. Methods Plain and double-enhanced CT images of 626 patients were retrospectively analyzed. A mesenteric vessel loop or a rotation angle around the axis 90o without intestinal canal whirl sign was used as the diagnostic standard for whirl sign. Two experienced physicians evaluated the mesenteric vessel whirl sign and its morphological characteristics (including its site, rotation direction, rotation angle, distance between the start and end points of rotating vessels, and rotation radius