摘要
目的:观察不同中医证型肠梗阻CT影像特点。方法:选取100例肠梗阻患者,分别进行CT检查和中医证型诊断,分析不同中医证型肠梗阻患者的CT影像特点。结果:100例肠梗阻患者中,气滞血瘀型、里热内结型、气血不足型、脏腑失调型分布比较均衡,均占20%~30%。从CT诊断结果分析病因,机械性肠梗阻41例,麻痹性肠梗阻36例,血运性(绞窄性)肠梗阻23例。其中,机械性肠梗阻患者多见脏腑失调型和气滞血瘀型;麻痹性肠梗阻患者多见里热内结型和气血不足型;血运性(绞窄性)肠梗阻患者以气滞血瘀型最常见。3种病因肠梗阻患者中医证型分布比较,差异有统计学意义(P<0.05)。结论:不同中医证型肠梗阻患者CT检查结果各具特点,CT检查可作为中医辨证的客观依据,帮助快速诊断。
Objectives: To observe the CT imaging features of intestinal obstruction with different Chinese medicine syndromes. Methods: A total of 100 cases of patients with intestinal obstruction were selected for CT examination and Chinese medicine syndrome diagnosis,and the CT imaging features of intestinal obstruction with different Chinese medicine syndromes were analyzed. Results: Among 100 patients with intestinal obstruction, the distribution of qi stagnation and blood stasis type,interior heat bind type,deficiency of qi and blood type,and disharmony of viscera and bowels type were relatively balanced, and each accounted for 20% ~30%. According to the causes of the disease from the CT diagnosis results,there were 41 cases of mechanical intestinal obstruction,36 cases of paralytic intestinal obstruction,and 23 cases of vascular(strangulated) intestinal obstruction. Among them,patients with mechanical intestinal obstruction were more likely of disharmony of viscera and bowels type or qi stagnation and blood stasis type;patients with paralytic intestinal obstruction were more likely of interior heat bind type or deficiency of qi and blood type;patients with vascular(strangulated) intestinal obstruction were more likely of qi stagnation and blood stasis type. Comparison of distribution of Chinese medicine syndrome types in patients with intestinal of three causes showed significant in the difference(P<0.05). Conclusion:The CT results of intestinal obstruction patients with different Chinese medicine syndrome have their own features,and the CT examination can be used as objective evidence for rapid diagnosis in Chinese medicine syndrome differentiation.
出处
《新中医》
CAS
2021年第20期37-39,共3页
New Chinese Medicine
关键词
肠梗阻
中医证型
CT
影像特点
Intestinal obstruction
Chinese medicine syndrome
CT
Imaging features
