|
|
|
| Value of 64-slice MSCT in the diagnosis of acute ischemic bowel disease |
1. Department of Radiology, Xuchang Central Hospital, Xuchang Henan 461000, China;
2. Henan Province Xiangcheng County People’s Court, Xiangcheng Henan 461700, China |
|
|
|
|
Abstract Objective: To explore the value of 64-slice MSCT in the diagnosis of acute ischemic bowel disease. Method: Fifty-nine cases of acute abdomen of ischemic bowel disease were scanned with 64-slice MSCT and raw data were processed by MPR, MIP, VR and CPR. The imaging features were analyzed. Results: CT features of acute ischemic bowel disease included intestinal wall thickening, abnormal density and enhancement of intestinal wall, dilatation of intestine with gas and liquid, anomalies of mesenteric vascular diameter and density, filling-defect of mesenteric vessel. The filling-defect of mesenteric vessel could be the direct sign for diagnosis. There was obvious difference of enhancement degree between ischemic and normal intestine, which could be the basis for decision of resection range. Conclusion: 64-slice MSCT can serve as the primary method for the accurate diagnosis of ischemic bowel disease and can help to decide the resection range.
|
|
Received: 25 January 2016
|
|
|
|
Corresponding Authors:
ZHANG Peng
|
|
|
|
[1]Min SI, Yoon KC, Min SK, et al. Current strategy for the treatment of symptomatic spontaneous isolated dissection of superior mesenteric artery[J]. J Vasc Surg, 2011, 54(2): 461-466.
[2]肖锋. 多层螺旋CT扫描对绞窄性肠梗阻肠壁缺血坏死的诊断价值[J]. 中国医药导报，2009，6（21）：87-88.
[3]罗浩，邝锦锋，林竹，等. 多排螺旋CT结肠成像技术于结肠病变的应用[J]. 中国CT和MRI杂志，2011，9（4）：39-41.
[4]Renner P, Kienle K, Dahlke MH, et al. Intestinal ischemia: current treatment concepts[J]. Langenbecks Arch Surg, 2011, 396(1): 3-11.
[5]吴在德． 外科学[M]. 7版. 北京：人民卫生出版社，2008：455.
[6]龙晚生，胡茂清，梁卓栋，等. 肠缺血坏死的特征性CT征象[J]. 中华消化病与影像杂志：电子版，2014，4（1）：18-22.
[7]王晓东，刘洋，徐刚. 门静脉积气的CT影像表现及临床意义[J]. 中国医疗前沿，2012，7（9）：67-68.
[8]周倩静，张桃，严伟弘，等. 多层CT在诊断原发性急性肠系膜缺血中的价值[J]. 中国CT和MRI杂志，2015，13（6）：74-76. |
|
|
|
