多排螺旋计算机扫描技术小肠造影对小肠疾病的诊断价值研究(1)
【摘要】 目的：分析多排螺旋计算机扫描技术小肠造影(MSCTE)对小肠疾病的诊断价值。方法：选择50例小肠病变患者进行临床研究，均对其实施多排螺旋CT小肠造影检查。通过技术处理后对小肠周围病变情况予以观察，并同小肠镜手术结果展开对照。结果：黏膜与肠壁结构、肠管充盈、系膜血管等显示良好率分别为64.0%、74.0%、86.0%。MSCTE诊断结果：急性炎症诊断符合率为93.8%、淋巴瘤诊断符合率为100%、非特异性炎症诊断符合率为94.1%、粘连性梗阻诊断符合率为87.5%、间质瘤患者诊断符合率为100%、其他癌症诊断符合率为100%。患者中一致性极好者31例(62.0%)、一致性中度至高度者12例(24.0%)、一致性较差者7例(14.0%)。结论：多排螺旋计算机扫描技术小肠造影对小肠疾病诊断具有较高的诊断价值，小肠病变诊断符合率较高，因此值得在有条件的醫院中应用实施。
【关键词】 多排螺旋计算机扫描； 小肠造影； 小肠疾病； 诊断价值
Study on the Diagnostic Value of Small Bowel Contrast Imaging in Small Intestinal Diseases with Multi-slice Spiral Computed Tomography/LIUFU Yanyu.//Medical Innovation of China，2018，15(03)：126-130
, 百拇医药
【Abstract】 Objective：To evaluate the diagnostic value of multislice spiral CT scanning for small bowel disease (MSCTE).Method：Fifty patients with small bowel disease were selected for clinical study.All patients underwent multislice spiral CT small bowelography.Through the technical treatment of lesions around the small intestine to be observed， and with the results of small bowel surgery to start the control.Result：The mucosal and intestinal wall structure，intestinal filling，mesangial vessels showed good rates were 64.0%，74.0%，86.0%.The diagnostic results of MSCTE were 93.8% for acute inflammation，100% for lymphoma，94.1% for nonspecific inflammation，87.5% for diagnosis of adhesive obstruction，and the diagnostic coincidence rate was 100%，other cancer diagnosis coincidence rate was 100%.Among the patients，31 cases(62.0%) had excellent consistency，12 cases (24.0%) had moderate to high agreement，and 7 cases (14.0%) had poor consistency.Conclusion：Multislice spiral CT scanning has a high diagnostic value for the diagnosis of small intestine disease， and the coincidence rate of diagnosis of small bowel lesions is high. Therefore， it is worth to be implemented in hospitals with conditions.
, 百拇医药
【Key words】 Multidetector computed tomography； Small bowel radiography； Small bowel disease； Diagnostic value
First-author’s address：Maoming Hospital of Traditional Chinese Medicine，Maoming 525000，China
doi：10.3969/j.issn.1674-4985.2018.03.035
小肠冗长弯曲且互相重叠，一直以来都是放射科在临床诊断中的检查难点。随着计算机断层成像CT技术和小肠插管灌肠相互结合的研究发展，计算机小肠断层成像技术及灌肠造影，已经在临床应用中获得了较好的研究效果[1]。本文选择
2016年4月-2017年9月本院接受的50例小肠疾病患者纳入临床研究，主要分析多排螺旋CT小肠造影(MSCTE)用于小肠常见病变的诊断价值，并通过患者临床中MSCTE诊断结果的逐步深入，将研究内容做以下总结。
1 资料与方法
1.1 一般资料 选择2016年4月-2017年9月本院接受的50例小肠疾病患者纳入临床研究。纳入标准：初步被确诊为小肠病变患者；年龄在18～80岁；能够积极配合本次研究者。所有患者对本次研究内容知情并签订知情同意书。排除标准：排除患者中合并有妊娠期及哺乳期女性；合并有严重肺、肾等器官功能障碍者；有精神类疾病无法配合治疗者。患者均展开MSCTE临床检查。对患者采用MSCTE诊断出的小肠病变价值进行判断，其中男28例，女22例，年龄19～78岁，平均(50.4±4.6)岁。, 百拇医药(刘付燕玉)
【关键词】 多排螺旋计算机扫描； 小肠造影； 小肠疾病； 诊断价值
Study on the Diagnostic Value of Small Bowel Contrast Imaging in Small Intestinal Diseases with Multi-slice Spiral Computed Tomography/LIUFU Yanyu.//Medical Innovation of China，2018，15(03)：126-130
, 百拇医药
【Abstract】 Objective：To evaluate the diagnostic value of multislice spiral CT scanning for small bowel disease (MSCTE).Method：Fifty patients with small bowel disease were selected for clinical study.All patients underwent multislice spiral CT small bowelography.Through the technical treatment of lesions around the small intestine to be observed， and with the results of small bowel surgery to start the control.Result：The mucosal and intestinal wall structure，intestinal filling，mesangial vessels showed good rates were 64.0%，74.0%，86.0%.The diagnostic results of MSCTE were 93.8% for acute inflammation，100% for lymphoma，94.1% for nonspecific inflammation，87.5% for diagnosis of adhesive obstruction，and the diagnostic coincidence rate was 100%，other cancer diagnosis coincidence rate was 100%.Among the patients，31 cases(62.0%) had excellent consistency，12 cases (24.0%) had moderate to high agreement，and 7 cases (14.0%) had poor consistency.Conclusion：Multislice spiral CT scanning has a high diagnostic value for the diagnosis of small intestine disease， and the coincidence rate of diagnosis of small bowel lesions is high. Therefore， it is worth to be implemented in hospitals with conditions.
, 百拇医药
【Key words】 Multidetector computed tomography； Small bowel radiography； Small bowel disease； Diagnostic value
First-author’s address：Maoming Hospital of Traditional Chinese Medicine，Maoming 525000，China
doi：10.3969/j.issn.1674-4985.2018.03.035
小肠冗长弯曲且互相重叠，一直以来都是放射科在临床诊断中的检查难点。随着计算机断层成像CT技术和小肠插管灌肠相互结合的研究发展，计算机小肠断层成像技术及灌肠造影，已经在临床应用中获得了较好的研究效果[1]。本文选择
2016年4月-2017年9月本院接受的50例小肠疾病患者纳入临床研究，主要分析多排螺旋CT小肠造影(MSCTE)用于小肠常见病变的诊断价值，并通过患者临床中MSCTE诊断结果的逐步深入，将研究内容做以下总结。
1 资料与方法
1.1 一般资料 选择2016年4月-2017年9月本院接受的50例小肠疾病患者纳入临床研究。纳入标准：初步被确诊为小肠病变患者；年龄在18～80岁；能够积极配合本次研究者。所有患者对本次研究内容知情并签订知情同意书。排除标准：排除患者中合并有妊娠期及哺乳期女性；合并有严重肺、肾等器官功能障碍者；有精神类疾病无法配合治疗者。患者均展开MSCTE临床检查。对患者采用MSCTE诊断出的小肠病变价值进行判断，其中男28例，女22例，年龄19～78岁，平均(50.4±4.6)岁。, 百拇医药(刘付燕玉)