摘要
目的:探讨64排128层螺旋CT对十二指肠憩室的诊断价值。方法:回顾性分析64排128层螺旋CT扫描诊断十二指肠憩室患者30例的临床资料。结果:CT影像表现为十二指肠壁外紧贴肠壁的类椭圆形或类圆形囊袋状影。病灶位于十二指肠降段25个,位于十二指肠水平段5个,位于十二指肠升部3个。结论:64排128层螺旋CT分辨率高,能显示十二指肠憩室与邻近器官的关系。
Objective:To investigate the diagnostic value of 64 rows of 128 layers CT for duodenal diverticulum.Methods:The clinical data of 30 cases of patients with duodenal diverticulum diagnosed with 64 rows of 128 layers CT were analyzed retrospectively.Results:CT images showed that oval shaped or nearly-circular shaped bag like shadow close to the intestinal wall outside the wall of duodenum.25 lesions were located in descending duodenum;5 lesions were located in pars horizontalis duodenum;3 lesions were located in ascending duodenum.Conclusion:64 rows of 128 layers CT had high-resolution and could show the relationship between duodenal diverticulum and adjacent organs.
引文
[1]韩志刚,程红岩,裘美娟,等.十二指肠憩室的多层螺旋CT诊断价值[J].医学影像学杂志,2005,15(5):286-287.
[2]Gore R M,Ghahremani G G,Kirsch M D,et al.Diverticulitis of the duodenum:clinical and radiological manifestations of seven cases[J].Am J Gastroenterol,1991,86(8):981.
[3]毛志群,刘建滨,郭一清,等.MSCT评价十二指肠旁憩室与胆胰疾病的关系[J].临床放射学杂志,2010,29:342-343.
[4]Schnueriger B,Vorburqer SA,Banz VM,et al.Diagnosis and management of the symptomatic duodenal diverticulum a case series and a short review of the literature[J].JGastrointest Surg,2008,12:1571.
[5]张建梅,赵桐,温廷国.MSCT对十二指肠憩室诊断价值的探讨[J].CT理论与应用研究,2008,(3):67.
[6]孙典学,李文华,杨世锋,等.CT对十二指肠乳头旁憩室的诊断价值及临床意义[J].中国中西医结合影像学杂志,2007,(5):113.
[7]孙典学,姜传武,李文华,等.十二指肠乳头旁憩室综合征的MSCT诊断价值[J].中国中西医结合影像学杂志,2007,(18):821.
[8]周培华,王毅,刘正敏,等.十二指肠憩室的多层螺旋CT表现及其临床意义[J].医学研究杂志,2011,40(2):67-70.
[9]胡道付.十二指肠憩室的MSCT诊断价值[J].齐齐哈尔医学院学报,2013,34(4):492-493.