| 刘伟,宋新红,石鸣琪,司友娇,王培源.MSCT诊断粘连性肠梗阻绞窄[J].中国医学影像技术,2019,35(4):560~563 |
| MSCT诊断粘连性肠梗阻绞窄 |
| MSCT in diagnosis of strangulation of adhesive intestinal obstruction |
| 投稿时间：2018-09-09 修订日期：2018-12-20 |
| DOI：10.13929/j.1003-3289.201809045 |
| 中文关键词: 肠梗阻 体层摄影术,X线计算机 |
| 英文关键词:intestinal obstruction tomography, X-ray computed |
| 基金项目:山东省自然科学基金（ZR2018MH034）、山东省医药卫生科技发展计划资助项目（2016WS0055）。 |
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| 中文摘要: |
| 目的 探讨MSCT对粘连性肠梗阻绞窄的诊断价值。方法 回顾性分析经手术及病理证实的70例粘连性肠梗阻患者的MSCT征象，评价其对发生绞窄的诊断价值。结果 70例粘连性肠梗阻，手术及病理确诊34例发生绞窄，MSCT诊断29例发生绞窄，其中26例有既往腹部手术史。MSCT征象中，肠壁强化程度减低、弥漫性肠系膜水肿及血管增粗、肠系膜积液、肠壁增厚、C/U型肠襻与粘连性肠梗阻绞窄有关（P均<0.05）。MSCT诊断粘连性肠梗阻绞窄的敏感度85.29%（29/34），特异度100%（36/36），准确率92.86%（65/70）。结论 MSCT对判断粘连性肠梗阻绞窄具有较高价值。 |
| 英文摘要: |
| Objective To explore the diagnostic value of MSCT in the strangulation of adhesive intestinal obstruction. Methods MSCT findings of 70 patients with adhesive intestinal obstruction confirmed by surgery and pathology were retrospectively analyzed, and their diagnostic values were evaluated. Results In all 70 cases of adhesive intestinal obstruction, strangulation was confirmed by surgery and pathology in 34 cases, of which 26 had a history of previous abdominal surgery. Twenty-nine cases were diagnosed by MSCT. Among MSCT findings, contrast enhancement reduction of intestinal wall, diffuse mesenteric edema and vascular thickening, mesenteric hydrops, thickening of the intestinal wall as well as C/U shaped intestinal loop were related to the strangulation(all P<0.05). The sensitivity, specificity and accuracy of MSCT in diagnosis of strangulation of adhesive intestinal obstruction was 85.29% (29/34), 100% (36/36), 92.86% (65/70), respectively. Conclusion MSCT have high value in predicting strangulation of adhesive intestinal obstruction. |
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