| 陈海曦,李征宇,何之彦,张贵祥,周志国.CT对急性成人肠套叠的临床诊断价值[J].中国医学影像技术,2004,20(10):1532~1534 |
| CT对急性成人肠套叠的临床诊断价值 |
| CT diagnosing value of acute adult intussusception |
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| DOI： |
| 中文关键词: 体层摄影术,X线计算机 急性病 肠套叠 |
| 英文关键词:Tomography,X-ray computed Acute disease Intussusception |
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| 摘要点击次数: 883 |
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| 中文摘要: |
| 目的 探讨急性成人肠套叠的CT征象及临床诊断价值。方法 对手术及病理证实的42例急性成人肠套叠行常规全腹CT平扫。结果 小肠型肠套叠17例(40%);小肠-结肠套叠15例(36%);结-结型肠套叠10例(24%)。直接征象有"靶征"22例、彗星尾征或肾形征20例。间接征象包括肠壁增厚18例,近侧肠腔不同程度的扩张19例,肠梗阻7例,邻近肠系膜或筋膜浸润3例等。结论 CT扫描对急性成人肠套叠的诊断、治疗有重要的指导作用。 |
| 英文摘要: |
| Objective To investigate the clinical value and CT characteristics of acute adult intussusception. Methods All 42 cases of acute adult intussusception confirmed by operation and pathology were examined with spiral CT scanning from diaphragma to pubic symphysis. Results There were 17 cases of small bowel intussusceptions,15 cases of ileocolonic intussusception and 10 cases of colocolonic intussusception. Direct signs such as "target sign" (22 cases) and "comet-tail" or "kidney" sign (20 cases) and indirect signs of intussusception like increased bowel wall thickness (18 cases), dilataltion of proximal intestinal cavity (19 cases), intestinal obstruction (7 cases) and mesentery infiltration (3 cases) were observed. Conclusion CT is useful for guiding diagnosis and treatment of acute adult intussusception. |
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