| 王海波 刘白鹭 刘新顶 李金平 张金玲 舒圣捷.CT 平扫对肠坏死诊断价值[J].,2015,15(22):4291-4294 |
| CT 平扫对肠坏死诊断价值 |
| Value of Unenhanced MSCT Scan for Intestinal Necrosis |
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| DOI： |
| 中文关键词: 肠坏死 肠缺血 急腹症 CT |
| 英文关键词: Intestinal necrosis Intestinal ischemia Acute abdomen CT |
| 基金项目:国家自然科学基金项目（81101085） |
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| 中文摘要: |
| 目的：探讨CT 平扫对肠坏死诊断价值，总结肠管坏死征象。方法：分析98 例可疑肠坏死患者CT平扫图像，所有患者均经手
术证实或未能及时治疗死亡患者CT 平扫影像，总结、分析影像特点。结果：全部患者中40 例患者存在肠坏死，肠壁厚度改变，包
括29 例肠壁增厚，8 例肠壁菲薄，5 例表现为肠壁密度减低，3 例表现为肠壁密度增加，25 例表现肠管扩张，8 例表现肠管塌陷，36
例肠管内积液，其中34 例见气液平面，4 例仅见积气，5 例肠壁内见气泡影，38 例见腹腔积液，10 例见系膜水肿，2 例见肠系膜血
管密度增高，1 例肠系膜静脉内气体，1 例门静脉内气体，5 例见腹腔游离气体。结论：多排螺旋CT 平扫对肠坏死部位及范围的评
价有较高的价值，同时CT 平扫能明确病因，为及早治疗打下良好基础。 |
| 英文摘要: |
| Objective:To investigate the diagnostic value of CT scan in intestinal necrosis, summed the CT findings of bowel
necrosis.Methods:Chose the CT imaging features of 40 patients with enteritis were retrospectively reviewed, some cases were confirmed
by surgery, and the other cases were dead without surgery in time. Summarize the characteristics of the images.Results:In 40 patients, 29
were showed wall thickening; 8 cases showed intestinal collapse; 36 cases of the intestinal fluid; 34 cases were seen gas and liquid
surface and 4 cases were only seen air. 5 cases were saw the bubble in the intestinal wall. 38 case were seen abdominal cavity effusion.
10 case were seen mesenteric edema. 2 cases were seen the density of mesenteric blood vessels higher than normal vessel. 1 cases were
seen some air in mesenteric blood vessels. 1 cases were seen some air in The portal vein. 5 cases were seen free intraperitoneal air.Conclusion:MSCT has high value in evaluating position and size of bowel necrosis and CT could help us know which reason cause the
bowel necrosis, so that the disease could be cured timely. |
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