摘要
目的探讨X线、CT扫描对肠旋转不良伴中肠扭转的诊断价值。方法回顾分析经手术证实的VIM16例。10例行腹部立卧位平片检查;13例行上消化道造影,7例行钡灌肠;6例行CT检查,其中2例行增强CT扫描。结果腹部立卧位平片2例见"双泡征",小肠内不含气或含气较少;2例表现中上腹管状充气伴狭细短跨度肠段。上消化道造影示十二指肠完全梗阻5例;十二指肠不完全梗阻8例,见"飘带征"。钡灌肠回盲部位于右上腹3例,中上腹2例,左上腹2例。4例非新生儿病例CT显示肠系膜根部类团块影,见典型"漩涡征",毗邻肠袢扩张,肠系膜静脉不同程度淤积扩张。结论上消化道造影、CT对肠旋转不良伴中肠扭转的诊断具有重要价值。
Objective To analyze X-ray,CT findings of volvulus in intestinal malrotation （VIM）, and to explore their value. Methods 16 cases of VIM proved by surgery were analyzed retrospectively. X-ray plain films were performed in 10 cases. Upper gastrointestinal barium radiography in 13 cases, Barium enema in 7 cases, and CT in 6 cases, CE-CT in 2 cases simultaneously. Results X-ray plain film： double-bulb signs were revealed in 2 cases, no or less air in the small intestine. Inflatable, narrow and short span in the upper and middle abdominal tubular was observed in 2 cases. UGI radiography： Complete obstruction of duodenal was delineated in 5 cases. Incomplete obstruction of duodenal in 8 cases was characterized by strip sign. Barium enema： Ileocecal junction in the right upper quadrant were depicted in 3 cases, 2 cases in upper and middle abdomin, 2 cases in left upper quadrant. CT： The whirl pattern around the superior mesenteric artery was found in 4 cases. Conclusion UGI radiography, CT can play an important role in the evaluation of VIM.
出处
《河南科技大学学报（医学版）》
2008年第3期183-185,共3页
Journal of Henan University of Science & Technology:Medical Science
