急性胃扭转的CT征象分析

发布时间：2018-04-18 13:43

本文选题：胃扭转 + 体层摄影术.X线计算机　；参考：《临床放射学杂志》2017年12期

【摘要】：目的探讨急性胃扭转的CT影像特点。方法回顾性分析经手术证实的12例急性胃扭转患者资料,术前均行CT扫描,观察急性胃扭转的CT征象,总结其影像特点。结果 CT检查示食管裂孔疝9例(75%);12例(100%)急性胃扭转患者的CT图像均显示胃窦与幽门移行区存在,且移行区均无占位或其他梗阻因素;胃窦位于胸腔内有9例(75%),胃体位于胸腔内有3例(25%),胃底位于胸腔内有5例(41.7%);12例急性胃扭转患者胃窦位置高于或等于胃底,其中7例(58.3%)胃窦位置高于胃底,5例(41.7%)胃窦位置与胃底等高。结论急性胃扭转在CT图像上有一定特点,胃窦与幽门移行区存在,胃窦位置高于或等于胃底,CT检查是诊断急性胃扭转的重要方法。
[Abstract]:Objective to investigate the CT features of acute gastric torsion.Methods the data of 12 patients with acute gastric volvulus proved by operation were retrospectively analyzed. Ct scanning was performed before operation. The CT signs of acute gastric torsion were observed and the imaging features were summarized.Results CT images of 9 patients with hiatal hernia and 12 patients with acute gastric torsion showed the presence of antrum and pyloric transitional area, and no space occupying or other obstructive factors were found in the transitional area.There were 9 cases of antrum in thoracic cavity, 3 cases of gastric body in chest cavity, 5 cases of gastric fundus in chest cavity, 5 cases of gastric fundus in thoracic cavity, and 12 cases of acute gastric torsion whose antrum position was higher than or equal to gastric fundus.The position of antrum in 7 cases was higher than that in fundus of stomach 5 cases were 41.7%) the position of antrum was equal to that of fundus.Conclusion Acute gastric torsion has some characteristics on CT images. The location of gastric antrum and pyloric transitional area is higher than or equal to that of fundus CT examination is an important method for diagnosis of acute gastric torsion.
【作者单位】：辽宁省大连市中心医院放射科;大连医科大学附属第二医院放射科;
【分类号】：R656;R816.5

【相似文献】