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
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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医院中应用实施。
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.
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.
引文
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[10]刘静,焦俊,张英俊,等.小肠肠壁增厚的多层螺旋CT小肠造影征象分析和诊断价值[J].临床放射学杂志,2015,34(12):1919-1923.
[11]颜俏燕,丁士申,肖运平,等.浅谈口服等渗甘露醇多层螺旋CT小肠造影的临床应用体会[J].中国继续医学教育,2016,8(4):37-39.
[12]张厚宁,盛佳曦,孙凤涛,等.256层CT口服法小肠造影诊断小肠肿瘤的临床价值[J].中国煤炭工业医学杂志,2016,19(1):14-18.
[13]何仁政,谢宝君.多层螺旋CT小肠造影与双气囊小肠内镜判断小肠克罗恩病活动度的价值[J].胃肠病学和肝病学杂志,2015,24(5):527-530.
[14]何剑琴,罗雪香,孙凌,等.多层螺旋CT小肠造影与双气囊小肠镜在小肠疾病诊断中的价值[J].检验医学与临床,2016,13(1):156-158.
[15]朱立春,胡克非,胡俊,等.磁共振小肠造影多序列联合在儿童肠道疾病检查中的应用[J].实用放射学杂志,2016,32(5):764-767.
[16]杨涓,郑盛,缪应雷,等.多层螺旋CT小肠造影评估克罗恩病活动度的临床价值[J/OL].中华消化病与影像杂志:电子版,2016,6(2):57-61.
[17]周建伟,潘杰,侯俊良.多层螺旋CT小肠造影与双气囊小肠镜在不明原因腹痛诊断中的价值[J].实用医学杂志,2012,28(22):3758-3761.
[18]王东旭,丁国旭,张天宇,等.多层螺旋CT小肠造影与肠胶囊内镜联合应用对小肠常见肿瘤的术前评估价值[J].中国医疗设备,2015,30(7):36-39.
[19]罗莉莉,许思恩,夏志淮,等.多层螺旋CT小肠造影对小肠肿瘤的临床诊断效果[J].中国医师杂志,2016,18(1):120-122.
[20]亓昌珍,章士正,刘义涛,等.多层螺旋CT小肠造影对克罗恩病活动度的评估价值[J].中华医学杂志,2015,95(25):2006-2009.
[21]边向聪,洪金鹏,陈嘉屿.经CT小肠造影确诊的麦克尔憩室内翻致成人肠套叠1例及文献复习[J].中国临床研究,2016,29(10):1406-1408.
[2]王刚,周晓明,赵蕊蕊,等.256层螺旋CT小肠造影扫描技术在小肠疾病诊断中的临床应用价值[J].中国现代医生,2017,36(15):98-101.
[3]窦娅芳,唐颖,解骞,等.256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值[J].CT理论与应用研究,2013,22(1):137-146.
[4]解骞,窦娅芳,梁宗辉,等.256层多排螺旋CT小肠成像对小肠炎症性病变的临床应用研究[J].CT理论与应用研究,2013,22(2):329-338.
[5]隋言宾,公佩友,刘奉立.口服法多层螺旋CT小肠造影在小肠疾病诊断中的临床价值[J].临床放射学杂志,2013,32(3):447-450.
[6]王笑,唐翠松,李伟,等.多层螺旋CT小肠造影和消化内镜对炎症性肠病诊断价值的评价[J].医学影像学杂志,2015,25(12):2170-2174.
[7]冯兆章,滕录霞,张远鸿,等.多层螺旋CT小肠造影技术诊断小肠疾病的价值和意义[J].中国临床研究,2016,29(3):339-341.
[8]刘振翠,陈伟彬,杨冬生,等.256层螺旋CT小肠造影及气钡双重对比造影检查在诊断小肠隆起性病变中的价值比较[J].中国煤炭工业医学杂志,2014,17(8):1231-1234.
[9]朱庆强,王中秋,吴晶涛,等.CT及X线小肠造影对小肠克罗恩病的诊断价值评价[J].中华胃肠外科杂志,2013,16(5):443-447.
[10]刘静,焦俊,张英俊,等.小肠肠壁增厚的多层螺旋CT小肠造影征象分析和诊断价值[J].临床放射学杂志,2015,34(12):1919-1923.
[11]颜俏燕,丁士申,肖运平,等.浅谈口服等渗甘露醇多层螺旋CT小肠造影的临床应用体会[J].中国继续医学教育,2016,8(4):37-39.
[12]张厚宁,盛佳曦,孙凤涛,等.256层CT口服法小肠造影诊断小肠肿瘤的临床价值[J].中国煤炭工业医学杂志,2016,19(1):14-18.
[13]何仁政,谢宝君.多层螺旋CT小肠造影与双气囊小肠内镜判断小肠克罗恩病活动度的价值[J].胃肠病学和肝病学杂志,2015,24(5):527-530.
[14]何剑琴,罗雪香,孙凌,等.多层螺旋CT小肠造影与双气囊小肠镜在小肠疾病诊断中的价值[J].检验医学与临床,2016,13(1):156-158.
[15]朱立春,胡克非,胡俊,等.磁共振小肠造影多序列联合在儿童肠道疾病检查中的应用[J].实用放射学杂志,2016,32(5):764-767.
[16]杨涓,郑盛,缪应雷,等.多层螺旋CT小肠造影评估克罗恩病活动度的临床价值[J/OL].中华消化病与影像杂志:电子版,2016,6(2):57-61.
[17]周建伟,潘杰,侯俊良.多层螺旋CT小肠造影与双气囊小肠镜在不明原因腹痛诊断中的价值[J].实用医学杂志,2012,28(22):3758-3761.
[18]王东旭,丁国旭,张天宇,等.多层螺旋CT小肠造影与肠胶囊内镜联合应用对小肠常见肿瘤的术前评估价值[J].中国医疗设备,2015,30(7):36-39.
[19]罗莉莉,许思恩,夏志淮,等.多层螺旋CT小肠造影对小肠肿瘤的临床诊断效果[J].中国医师杂志,2016,18(1):120-122.
[20]亓昌珍,章士正,刘义涛,等.多层螺旋CT小肠造影对克罗恩病活动度的评估价值[J].中华医学杂志,2015,95(25):2006-2009.
[21]边向聪,洪金鹏,陈嘉屿.经CT小肠造影确诊的麦克尔憩室内翻致成人肠套叠1例及文献复习[J].中国临床研究,2016,29(10):1406-1408.