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目的:探讨CT对于成人肠套叠的临床诊断价值。方法:回顾分析2012年1月至2014年12月我院收治的19例经手术病理证实为肠套叠患者的临床资料及CT检查资料。结果:16例患者存在腹部肿块影,12例表现为同心圆状变,4例平行结构样变,12例存在肠扩张并存在液平现象,4例存在腹腔积液;套叠部位分型为6例(31.58%)小肠型,8例(42.11%)回结肠型和5例(26.32%)结肠型,套叠部位与术后病理结果完全一致。结论:CT检查对于成人肠套叠的临床诊断具有重要辅助价值,值得推广应用。
Objective: To investigate the clinical value of CT in the diagnosis of intussusception in adults. Methods: The clinical data and CT findings of 19 patients who underwent surgery and pathology confirmed as intussusception in our hospital from January 2012 to December 2014 were retrospectively analyzed. Results: There were 16 cases of abdominal mass, 12 cases showed concentric discotic changes, 4 cases of parallel structure-like changes, 12 cases of intestinal dilatation and the existence of liquid level phenomenon, 4 cases of ascites fluid; 6 cases (31.58%) of small intestine type, 8 cases (42.11%) of the colon-type and 5 cases (26.32%) colon type, nested pathology and postoperative pathological results are exactly the same. Conclusion: CT examination has important auxiliary value for the clinical diagnosis of intussusception in adults, which is worth popularizing and applying.