重庆医学2017，Vol.46Issue(14)：1897-1899,1903,4.DOI:10.3969/j.issn.1671-8348.2017.14.008
双能CT结肠成像部分自动个体化充注空气扩张结直肠的研究
Study on colorectal distension with partially automated and individualized insufflation of air for dual-energy CT colonography
摘要
Abstract
Objective To study the compliance of examinees,and effectiveness of colorectal distension with partially automated and individualized insufflation of air for dual-energy CT colonography.Methods Forty-six healthy adult volunteers without history of conditions affecting gastrointestinal motor function were enrolled in this study.One day before CT examination,volunteers were asked to orally administered 60 mL 4% diatrizoate meglumine five times for fecal tagging.Air was insufflated by using an inflator in a partially automated and individualized manner.The volunteers were initially asked to assume the right lateral decubitus position,then slowly turn to the supine position.Insufflation rate began at 1.5 L/min,and decreased to 0.5 L/min at later stage.The necessity and volume of air insufflation were decided according to effectiveness of colorectal distension on CT scout images,self-reported sensation of volunteers,and intestinal pressure.Dual-energy CT scanning was performed,and dual-energy blended images were acquired.Compliance of volunteers was statistically analyzed.The effectiveness of colorectal segments distension was statistically analyzed by using Kruskal-Wallis H test.Results No abdominal pain,bloating,nausea or vomiting were noted in the 46 volunteers.All volunteers easily accepted colorectal insufflation of air,with grade 1 compliance.The effectiveness of colorectal distension of grades 1,2,3 and 4 were 0%,2.1%,5.1% and 92.8%,respectively.The difference of effectiveness of colorectal segments distension had no statistical significance(χ2=6.19,P=0.288).The effectiveness of insufflation was poor in 6 colorectal segments,including 2 in sigmoid colon and 2 in rectum.Effectiveness of insufflation was suboptimal in 14 colorectal segments,including 4 in descending colon,4 in sigmoid colon,and 3 in rectum.Conclusion Compliance of examinees with partially automated and individualized insufflation of air for dual-energy CT colonography is excellent,with good effectiveness of colorectal distension.关键词
结肠/直肠/体层摄影术,X线计算机/双能CT结肠成像/结直肠扩张/部分自动/个体化充气/空气Key words
colon/rectum/tomography/X-ray computed/dual-energy CT colonography/colorectal distension/partially automated/individualized insufflation/air分类
医药卫生引用本文复制引用
梁丹,郭红梅,段侪杰,罗明月,朱冬云,邱建平,Wenli Cai..双能CT结肠成像部分自动个体化充注空气扩张结直肠的研究[J].重庆医学,2017,46(14):1897-1899,1903,4.基金项目
国家自然科学基金资助项目(81230035) （81230035）
广东省科技计划项目(2013B051000016). （2013B051000016）
