老年小肠肿瘤合并肠套叠患者手术前后的多层螺旋CT表现分析

发布时间：2018-03-08 11:28

本文选题：老年小肠肿瘤　切入点：肠套叠　出处：《中国CT和MRI杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的研究老年小肠肿瘤合并肠套叠患者手术前后多层螺旋CT特征及临床意义。方法选取我院2013年10月至2014年10月间收治的28例老年小肠肿瘤合并肠套叠患者为研究对象,术前采取16层螺旋CT扫描进行平扫及增强扫描,分析病灶动、静脉期图像特征,并对患者术后及随访的CT表现进行观察。结果 28例患者小肠肿瘤伴肠套叠患者术前CT诊断准确率89.29%(25/28)。误诊5例,其中2例为小肠及升结肠广泛坏死,3例腹内疝。小肠套叠7例,结肠套叠11例,回盲部套叠10例。术前24例患者经CT诊断明确病因为小肠间质瘤及错构瘤,平扫表现为等密度肿块,增强后显著强化,强化程度与动脉相近。结论多层螺旋CT可准确反映老年小肠肿瘤合并肠套叠患者手术前后特征,对手术方式的选择、评估预后具有重要的指导作用,可在临床推广应用。
[Abstract]:Objective to study the characteristics and clinical significance of multislice spiral CT in elderly patients with intestinal neoplasms complicated with intussusception before and after operation. Methods 28 elderly patients with intestinal neoplasms complicated with intussusception from October 2013 to October 2014 were selected as subjects. Before operation, 16-slice spiral CT scanning was performed on plain and contrast-enhanced scans to analyze the features of the lesions in the arteriovenous phase. Results the preoperative diagnostic accuracy of CT in 28 patients with small intestinal neoplasms with intussusception was 89.29 / 28. 5 cases were misdiagnosed, 2 of them were extensive necrosis of small intestine and ascending colon in 3 cases of abdominal hernia, 7 cases of intussusception, 3 cases of abdominal hernia, 7 cases of small bowel intussusception, 2 cases of misdiagnosis, 3 cases of abdominal hernia, 7 cases of small intestine intussusception. There were 11 cases of intussusception and 10 cases of ileocecal intussusception. Before operation, 24 cases were diagnosed as small intestinal stromal tumor and hamartoma by CT diagnosis. Conclusion Multi-slice spiral CT can accurately reflect the characteristics before and after operation in elderly patients with intestinal neoplasms and intussusception. It plays an important role in the selection of surgical methods and the evaluation of prognosis, and can be widely used in clinical practice.
【作者单位】：山东省青岛市胶州中心医院CT室;
【分类号】：R735.32;R730.44

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