中国医疗设备Issue(2)：171-173,167,4.DOI:10.3969/j.issn.1674-1633.2014.02.062
胆石性肠梗阻的影像对比分析
Comparative Analysis of the Radiological Findings in Gallstone Ileus
刘兴华 1张蔚 1刘海峰 1吴彪2
作者信息
- 1. 武汉市第一医院放射科，湖北武汉430022
- 2. 武汉市第一医院胃肠外科，湖北武汉430022
- 折叠
摘要
Abstract
Objective To comparatively analyze the effectiveness of MSCT (Multi-Slice Spiral Computerized Tomography), erect abdominal plain iflms and upper gastrointestinal imaging in diagnosis of gallstone ileus. Methods Retrospective analysis of 10 patients with conifrmed gallstone ileus from 2011 to 2013 were made. Of the 10 cases, all underwent abdominal MSCT and erect abdominal plain films; 7 were examined with upper gastrointestinal imaging. Radiological findings of the allotriolith, intestinal obstruction, pneumatosis in the gallbladder and biliary tract as well as cholecysto-intestinal fistulas obtained by three imaging techniques were comparatively analyzed. Results The detection rates of the allotriolith, intestinal obstruction, pneumatosis in the gallbladder and biliary tract revealed by MSCT were 100%, 90%, 90%respectively versus 20%, 90%, 10%by erect abdominal plain iflms and 28.6% (2/7), 100% (7/7), 0 by upper gastrointestinal imaging. MSCT (50%) was inferior to the upper gastrointestinal imaging [100%(7/7)] in display of cholecysto-intestinal ifstulas. Conclusion In comparison with other two imaging techniques, MSCT showed the greatest effectiveness in diagnosis of the gallstone ileus;the upper gastrointestinal imaging was of comparatively highest signiifcance for detection of cholecysto-intestinal ifstulas (Fistulas of Stomach and Duodenum);the erect abdominal plain iflm was proven to be an imaging technique with the least effectiveness.关键词
胆石/肠梗阻/计算机体层摄影术/胆肠内瘘/上消化道造影Key words
vgallstone/ileus/computerized tomography/cholecysto-intestinal fistulas/upper gastrointestinal imaging分类
医药卫生引用本文复制引用
刘兴华,张蔚,刘海峰,吴彪..胆石性肠梗阻的影像对比分析[J].中国医疗设备,2014,(2):171-173,167,4.
