磁共振成像在肠梗阻病因诊断中的应用价值

摘要

Objective To investigate the value of MRI in the etiology diagnosis of intestinal obstruction. Methods The MRI imaging data of 52 patients with intestinal obstruction were analyzed retrospectively, and the re-sults were compared with surgery and follow-up results. Results Forty-nine patients in 52 cases with surgically con-firmed that according to the etiology of colon cancer group, 22 cases, intussusception group (8 cases), intestinal adhe-sion Group 8 cases, volvulus group in 5 cases, bezoar group of 2 cases, blood circulation disorders, inflammation and necrosis in 7 cases, one cases underwent interventional therapy has been proven, 2 cases after conservative treatment of symptom relief. The coincidence rates of MRI localization and qualitative diagnosis were 98%and 92%respective-ly. Conclusion MRI can accurately display the intestinal obstruction, etiology, liver volume rapid acquisition (lava) sequence is an important sequence of MRI in the diagnosis of intestinal obstruction.%目的：探讨磁共振成像（MRI）在肠梗阻病因诊断中的应用价值。方法回顾性分析52例临床拟诊为肠梗阻患者的MRI影像资料，并与手术及随访结果对照。结果52例中49例经手术证实，根据病因分为结肠癌22例，肠套叠8例，肠粘连8例，肠扭转5例，粪石2例，血运障碍及炎症坏死7例，其中1例经介入治疗证实，2例经保守治疗后症状缓解。MRI定位和定性诊断符合率分别为98％和92％。结论 MRI可以较准确地显示肠梗阻部位及病因，肝脏容积快速采集（LAVA）序列是MRI诊断肠梗阻重要的序列。