摘要
目的分析非外伤性结肠破裂多层螺旋CT(MSCT)表现,以提高对该病的认识和诊断水平。方法回顾性分析经手术病理证实的13例非外伤性结肠破裂患者的临床及MSCT资料,均行腹盆部MSCT平扫,其中7例行MSCT增强扫描,分析非外伤性结肠破裂的MSCT表现特征。结果结肠癌6例,憩室炎4例,自发性穿孔3例;CT表现为腹腔游离气体6例,肠腔外局限性小气泡征7例,肠壁连续性中断4例,肠外粪块5例,肠系膜、网膜脂肪密度增高4例,腹膜腔或腹膜后积液6例。结论 MSCT能较好的诊断非外伤性结肠破裂及显示破裂部位,对非外伤性结肠破裂有较高的诊断价值。
Objective To analyze the multi-slice spiral CT（ MSCT） manifestations of non-traumatic rupture of colon,so as to improve the understanding and diagnostic level for this disease. Methods The clinical and MSCT data of 13 cases confirmed as non-traumatic rupture of colon by surgical pathology were retrospectively analyzed. All patients underwent unenhanced abdominopelvic MSCT,amongst these 7 cases underwent enhanced abdominopelvic MSCT. The MSCT manifestation of non-traumatic rupture of colon was analyzed. Results Among the 13 cases of non-traumatic rupture of colon,there were 6 cases of colon cancer,4 cases of diverticulitis and 3 cases of spontaneous perforation. As for the CT manifestation,free intraperitoneal air was shown in 6 cases,extra-luminal air bubble sign was displayed in 7 cases,interruption of intestinal wall continuity in 4 cases,extra-colonic feces with peritoneal contamination in 5 cases,increased density of mesentery and omental fat in 4 cases,and peritoneal or retroperitoneal effusion was demonstrated in 6 cases. Conclusion MSCT can adequately diagnose non-traumatic rupture of the colon and reveal the location of rupture. MSCT has a high diagnostic value in non-traumatic rupture of colon.
作者
万荣超
邓德茂
袁文昭
廖海
陈加军
WAN Rongchao DENG Demao YUAN Wenzhao et al(Department of Radiology, The First Affiliated Hospital To Guangxi Traditional Chinese University, Nanning, Guangxi Zhuang Autonomous Region 530023, P. R. Chin)
出处
《临床放射学杂志》
CSCD
北大核心
2017年第2期247-250,共4页
Journal of Clinical Radiology
