等渗甘露醇在320排容积CT胃肠造影检查中的应用价值探讨

发布时间：2018-02-16 10:08

本文关键词： 胃肠造影排CT 应用分析　出处：《基层医学论坛》2016年34期 　论文类型：期刊论文

【摘要】：目的探讨等渗甘露醇在320排容积CT胃肠检查中的应用价值。方法选取60例临床疑似胃肠病变患者,口服等渗甘露醇、肌注山莨菪碱(654-2)后行全腹部320排CT平扫+增强扫描,观察胃肠充盈管腔扩张度、管壁厚度及胃肠病变显示能力。结果 60例患者均顺利完成检查,无明显不良反应及并发症,胃肠均能适度扩张充盈,气粪干扰较少,胃壁肠壁清晰可见,肠袋变平变浅,肠间脂肪间隙均显示较好,均达到胃肠道CT诊断要求。60例患者中,23例发现腹部肿块,15例发现肠道炎症,2例发现阑尾区脓肿,20例未见异常。结论采用口服2.5%等渗甘露醇、肌注654-2胃肠道准备后行腹部CT扫描,简单易行,安全可靠,能更好地充盈胃肠道,三维立体显示胃肠本身及胃肠周围结构,明显挺高了胃肠道病变的检出率,易被患者接受,值得进一步推广及研究。
[Abstract]:Objective to evaluate the clinical value of isosmotic mannitol in 320 row volume CT gastrointestinal examination. Methods 60 patients with suspected gastrointestinal lesions were treated with isosmotic mannitol intramuscularly injected with anisodamine (654-2). Results 60 patients completed the examination successfully. There were no obvious adverse reactions and complications. The intestinal wall of the stomach wall was clearly visible, the intestinal pouch flattened and the interspace of interintestinal fat showed better. All patients met the diagnostic requirements of gastrointestinal CT. 23 cases found abdominal mass 15 cases found intestinal inflammation 2 cases found appendiceal abscess in 20 cases. Conclusion the abdominal CT scan was performed by oral administration of 2.5% isoosmotic mannitol and intramuscular injection of 654-2 before gastrointestinal preparation. It is simple, safe and reliable, can better fill the gastrointestinal tract, three-dimensional display of gastrointestinal itself and its surrounding structure, obviously high detection rate of gastrointestinal lesions, easy to be accepted by patients, worthy of further promotion and research.
【作者单位】：三明市第一医院;
【分类号】：R816.5

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