Abstract

目的 探讨16层螺旋CT三维重建对机械性肠梗阻的诊断价值.方法 回顾性分析38例经手术证实为机械性肠梗阻,且X线和16层螺旋CT检查资料齐全的病例,把X线、二维CT及三维CT所见与手术病理结果对照并进行对比分析.结果 三维CT诊断肠梗阻的准确率为100%,病因诊断正确率92%(35/38),包括肠肿瘤16例,肠粘连6例,肠套叠5例,肠扭转2例,腹外疝3例和肠石3例.结论 16层螺旋CT三维重建对机械性肠梗阻的显示、诊断及制定治疗方案具有重要的临床意义。

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