双源CT增强扫描检查对肠梗阻患者梗阻部位和梗阻病因的诊断意义

摘要

Objective To analyze the obstruction site,etiology,diagnosis by dual source CT scan significance. Methods From January 2015 to January 2016 in our hospital to receive treatment for intestinal obstruction in 32 patients for the study,patients admit ed to hospital,administering dual-source CT enhanced scan,clinical data,the inspection process,the diagnosis of patients,etc. were retrospel tively and analyzed. Results The di-agnosis of obstruction,the dual-source CT scan diagnosis entirely consistent with fiber endoscopy findings and surgical results,the site of obstruction diagnosed as 100%in the diagnosis of obstructive reasons,only one case was misdiagnosed as Crohn's disease intestinal tuberculosis,other reasons are consistent with the results of fiber endoscopy and surgical results,cause of obstruction diagnosis was 96. 9%. Conclusion The dual-source CT applied to the site of obstruction and to diagnose the cause can improve the diagnosis rate,to provide a reliable reference for the development of clinical programs.%目的：分析在肠梗阻部位、病因诊断中应用双源CT增强扫描的意义。方法选择2015年1月至2016年1月接收治疗的肠梗阻患者32例为研究对象，患者入院时，施予双源CT增强扫描检查，对患者临床资料、检查过程、诊断结果等进行回顾性分析。结果在梗阻部位的诊断中，双源CT增强扫描诊断结果与纤维镜检查结果和手术结果完全一致，梗阻部位确诊率为100．0％，在梗阻原因的诊断中，仅有1例克罗恩病被误诊为肠结核，其他原因均与纤维镜检查结果和手术结果一致，梗阻原因确诊率为96．9％。结论将双源CT应用到肠梗阻部位及原因的诊断中可提高确诊率，为临床治疗方案的制定提供可靠参考。