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目的探讨多层螺旋CT后处理对小肠梗阻的诊断价值。方法回顾分析104例小肠梗阻病例的CT检查资料,所有病人均行CT平扫,其中67例行CT增强扫描,并将数据传送到工作站进行后处理,部分病例行多平面重建(MPR),曲面重建(CPR),其中73例经手术病理证实,31例经临床证实,将其CT诊断结果与手术病理及临床保守治疗好转结果相对照。结果空肠梗阻16例,回肠梗阻71例,在104例中,包括粘连性肠梗阻49例,腹内、外疝性肠梗阻2122例,扭转性肠梗阻1416例,原发或继发肿瘤性肠梗阻6例,粪石性肠梗阻5例,胆石性肠梗阻1例,感染性病变45例。其中绞窄性肠梗阻23例。结论多层螺旋CT扫描及后处理技术能明确肠梗阻部位和病因,提示肠绞窄,具有较高的诊断价值,其为临床早期制订有效的治疗方法提供充分依据。
Objective To investigate the diagnostic value of multi-slice spiral CT postoperative treatment of small bowel obstruction. Methods A total of 104 patients with small bowel obstruction were retrospectively analyzed. CT scan was performed on all patients. CT scan was performed in 67 of them. The data were sent to the workstation for post-processing. Some patients underwent multiple planar reconstruction (MPR) Reconstruction (CPR), of which 73 cases confirmed by surgery and pathology, 31 cases clinically confirmed, the CT diagnosis and surgical pathology and clinical conservative treatment improved results. Results There were 16 cases of jejunal obstruction and 71 cases of ileum obstruction. Among 104 cases, there were 49 cases of adhesive intestinal obstruction, 2,122 cases of intra-abdominal and external hernia intestinal obstruction, 1416 cases of reversed intestinal obstruction, primary or secondary tumorous intestine 6 cases of obstruction, 5 cases of dung intestinal obstruction, 1 case of gallstone ileus and 45 cases of infectious disease. Including strangulated intestinal obstruction in 23 cases. Conclusion Multi-slice spiral CT scan and post-processing techniques can identify the site and cause of intestinal obstruction, suggesting intestinal strangulation, with high diagnostic value, which provides an adequate basis for the development of effective early clinical treatment.