首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (6): 824-825.

• 临床研究 • 上一篇    下一篇

CT与超声检查对结肠癌致急性肠梗阻诊断价值的比较

周海, 徐冰, 徐霓霓, 周楠   

  1. 首都医科大学附属北京天坛医院放射科
  • 收稿日期:2006-02-20 修回日期:1900-01-01 出版日期:2006-12-24 发布日期:2006-12-24

The Comparison of Diagnostic Value between CT and Ultrasounic Examination in Acute-Ileus Caused by Colonic Carcinoma

Zhou Hai, Xu Bing, Xu Nini, Zhou Nan   

  1. Department of Radiology, Beijing Tiantan Hospital, Capital University of Medical Sciences
  • Received:2006-02-20 Revised:1900-01-01 Online:2006-12-24 Published:2006-12-24

摘要: 目的 探讨CT对结肠癌致急性肠梗阻的诊断价值.方法 回顾性分析42例结肠癌致急性肠梗阻患者的CT和超声检查结果.结果 在42例结肠癌致急性肠梗阻患者中,超声诊断结果为:29例有不同程度腹腔积液,其中16例腹部有包块,只有5例提示包块与肠道关系密切,未有明确结肠癌诊断病例.CT诊断结果为:均有肠梗阻征象,20例升结肠占位,5例结肠肝曲占位,4例横结肠占位,5例结肠脾曲占位,8例降结肠占位.结论 CT对结肠癌致急性肠梗阻诊断较为敏感和准确.

关键词: 结肠癌, 肠梗阻, CT, 超声

Abstract: Objective To compare the diagnostic value between CT and ultrasound examination in acute-ileus caused by colonic carcinoma.Methods The results with 42 cases between acute-ileus caused by colonic carcinoma were analyzed retrospectively.Results In 42 cases of acute-ileus caused by colonic carcinoma,the ultrasound examination shoed 29 cases of celiac effusion,16 cases of celiac mass,only 5 cases suggested the mass related to colon,no ileus diagnosed.CT shoed all cases with ileus sign,20 cases mass in ascending colon,5 cases in right flexure of colon,4 cases in transverse colon,5 cases in left flexure of colon,8 cases in descending colon.Conclusion CT was more sensitive and accurate in diagnoses of acute-ileus caused by colonic carcinoma.

Key words: colonic carcinoma, ileus, CT, ultrasounograph

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