中国临床医学影像杂志2017，Vol.28Issue(8)：568-570,3.
CT鉴别粘连性小肠梗阻所致肠缺血和梗死的价值
Value of CT in differentiating small bowel ischemia from infarction in patients with adhesive small bowel obstruction
王玉强 1庞闽厦 1刘磊1
作者信息
- 1. 胜利油田中心医院CT检查科,山东 东营 257034
- 折叠
摘要
Abstract
Objective: To investigate the value of CT in differentiating small bowel ischemia from infarction in patients with adhesive small bowel obstruction (ASBO). Methods: According to operative results, thirty-seven patients with ASBO were classified into ischemia group and infarction group. The CT findings of two groups were retrospectively compared and analyzed. Results: The incidence of bowel wall pneumatosis, mesenteric haziness, decreased enhancement of bowel wall, decreased en-hancement of mesenteric arteries and veins of on CT imaging in the infarction group was statistically higher than that in the ischemia group, with odds ratio for infarction of 3.78, 11.91, 10.15, 16.50, and 19.55, respectively. The positive predictive value of a combination of 4 or more CT findings for small bowel infarction was 83.3%(10/12). Conclusion: CT imaging find-ing is helpful in differentiating small bowel ischemia from infarction in patients with ASBO, and decreased enhancement of mesenteric veins is the most valuable CT findings.关键词
肠梗阻/体层摄影术,螺旋计算机Key words
Intestinal obstruction/Tomography/spiral computed分类
医药卫生引用本文复制引用
王玉强,庞闽厦,刘磊..CT鉴别粘连性小肠梗阻所致肠缺血和梗死的价值[J].中国临床医学影像杂志,2017,28(8):568-570,3.
