摘要
目的探讨128层螺旋CT诊断成年人肠套叠的价值。方法回顾性分析63例经手术证实成年肠套叠患者的128层螺旋CT表现。结果63例肠套叠中特发性肠套叠1例，继发性肠套叠62例，其中多发性肠套叠1例。直接征象：＂靶征＂60例，＂双肠管征＂59例，＂血管卷入征＂56例，＂彗星尾征＂和＂肾形征＂51例。脂肪瘤为肠套叠最常见的良性病变，结肠癌为最常见的恶性病变。结论128层螺旋CT结合多平面重组对成年人肠套叠具有重要诊断价值。
Objective To investigate the diagnosis value of 128-slice spiral CT in patients with adult intussusception. Methods Direct features of 128-slice spiral CT of 63 adult intussusception patients confirmed by operation and pathology were analyzed retrospectively. Results In 63 cases of intussusceptions, 1 case had idiopathic intussusception, and the other 62 cases had secondary intussusception （ 1 case with multiple intussusceptions）. Direct signs included： ＂target sign＂ in 60 cases, ＂double intestines sign＂ in 59 cases, ＂blood vessel curling sign＂ in 56 cases, and ＂comet-tail sign＂ and ＂kidney sign＂ in 51 cases. Lipoma was the most common benign lesions of intussusception, and colon cancer was the most common malignant lesions of intussusception. Conclusions The 128-slice spiral CT combined with multiple plane restructuring has the important value in diagnosing adult intussusception.
出处
《中国医师进修杂志》
2016年第2期134-137,共4页
Chinese Journal of Postgraduates of Medicine
