【摘要】：目的探討多層螺旋CT在成人腸套疊診斷中的應(yīng)用價(jià)值,著重研究其對(duì)成人腸套疊及其原發(fā)病診斷的準(zhǔn)確性。方法該研究整群選取并回顧性分析該院2008年4月—2015年4月收治并經(jīng)手術(shù)證實(shí)的52例成人腸套疊患者;手術(shù)方法為傳統(tǒng)開(kāi)腹手術(shù),術(shù)式為:單純病變切除術(shù),連同病變?cè)趦?nèi)的部分腸切除術(shù),包括相應(yīng)的系膜及區(qū)域淋巴結(jié)在內(nèi)的腫瘤根治術(shù)。術(shù)前以多層螺旋CT軸位薄層掃描(平掃或平掃+增強(qiáng))結(jié)合多平面重組技術(shù),分析腸套疊CT征象,查找其原發(fā)病灶。結(jié)果手術(shù)結(jié)果顯示,有49例屬于順行性腸套疊,3例屬于逆行性腸套疊,其中回腸-結(jié)腸型腸套疊26例,結(jié)腸-結(jié)腸型腸套疊11例,小腸-小腸型腸套疊12例,結(jié)腸-直腸型腸套疊3例。術(shù)后病理診斷結(jié)果顯示,良性病變23例,惡性病變28例。術(shù)前CT診斷腸套疊47例,準(zhǔn)確率為90.38%,正確診斷出原發(fā)病變38例,準(zhǔn)確率為73.08%。結(jié)論多層螺旋CT對(duì)于成人腸套疊診斷具有重要價(jià)值,能夠發(fā)現(xiàn)其原發(fā)病變,對(duì)于其后期診治起著指導(dǎo)意義。
[Abstract]:Objective to evaluate the value of multilayer spiral CT in the diagnosis of adult intussusception, and to study its accuracy in diagnosis of adult intussusception and its primary disease. Methods 52 adult patients with intussusception were selected and analyzed retrospectively from April 2008 to April 2015. The operative method is traditional laparotomy, simple lesion resection, partial enterectomy, including the corresponding mesentery and regional lymph nodes. Multislice spiral CT axial thin slice scanning (plain scan or plain contrast enhancement) combined with multiplanar recombination technique was used to analyze the CT signs of intussusception and to find out the primary lesion of intussusception. Results there were 49 cases of anterograde intussusception and 3 cases of retrograde intussusception, including 26 cases of ileo-colonic intussusception, 11 cases of colon-colon intussusception, 12 cases of enteric-intestinal intussusception. Colon-rectum intussusception 3 cases. Postoperative pathological diagnosis showed 23 cases of benign lesions and 28 cases of malignant lesions. 47 cases of intussusception were diagnosed by CT before operation, the accuracy rate was 90.38, 38 cases were diagnosed correctly, the accuracy rate was 73.08. Conclusion Multi-slice spiral CT is of great value in the diagnosis of adult intussusception, can find its primary changes, and play a guiding role in the diagnosis and treatment of adult intussusception.
【作者單位】： 廣西合浦縣人民醫(yī)院CT/MRI室;
【分類號(hào)】：R574.3;R816.5

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