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目的 :评价多排螺旋CT在成人肠套叠诊断中的应用价值。方法 :收集本院经手术证实的肠套叠患者19例,8例行平扫加增强检查,11例行平扫检查,分析肠套叠类型、套叠原因及套叠表现。结果:19例中共24处肠套叠,其中,1例4处肠套叠,2例2处肠套叠。小肠-小肠套叠10处,回-结型套叠8处,结-结型套叠6处;19例均为继发性肠套叠,淋巴瘤1例,错构瘤2例,多发息肉3例,单发息肉1例,腺癌6例,间质瘤2例,腺瘤2例,纤维瘤2例;CT表现为靶征20处,彗星尾征12处,“8”字形征9处,继发性肠梗阻4例。结论:多排螺旋CT能很好地显示肠套叠,是成人肠套叠首选检查方法。
Objective: To evaluate the value of multislice spiral CT in diagnosis of intussusception in adults. Methods: Nineteen cases of intussusception confirmed by operation in our hospital were collected. Eight patients underwent plain scan and contrast enhanced scan, and 11 patients underwent plain scan. The causes of intussusception and intussusception were analyzed. Results: There were 24 cases of intussusception in 19 cases, including 4 cases of intussusception in 1 case and 2 cases of intussusception in 2 cases. Intestinal - small intestine in 10 cases, back - junction type nested 8, junction - junction type nested 6; 19 cases were secondary intussusception, 1 case of lymphoma, hamartoma in 2 cases, multiple polyps 3 cases, single polyp in 1 case, adenocarcinoma in 6 cases, stromal tumor in 2 cases, adenoma in 2 cases, fibroma in 2 cases; CT showed 20 signs of target, comet tail sign of 12, “8 ” Sign in 9, 4 cases of secondary intestinal obstruction. Conclusion: Multi-slice spiral CT can display intussusception, is the preferred method of examination for intussusception in adults.