作　　者： (曾伟胜）; (黄育鑫）; (陈恩炎）; (黄瑞雪）;

机构地区： 广东省普宁市人民医院CT／MR科,515300

出　　处： 《中国实用医药》 2017年第22期16-18,共3页

摘　　要： 目的探究分析胆石性肠梗阻CT诊断及临床意义。方法 20例胆石性肠梗阻患者作为本次的研究对象,患者采用CT进行检查,并对检查结果进行分析。结果 20例患者经CT诊断均确诊为胆石性肠梗阻,其检出率为100.00%;CT诊断不完全性肠梗阻检出率为75.00%,完全性肠梗阻检出率为25.00%,回肠位置结石检出率为55.00%,空肠位置结石检出率为35.00%,十二指肠与胆囊均存在结石检出率为10.00%,与病理诊断的70.00%、30.00%、50.00%、40.00%、10.00%比较,差异无统计学意义(P>0.05)。CT诊断胆囊-十二指肠瘘检出率、胆囊-结肠瘘检出率、胆囊-十二指肠-结肠复合瘘检出率与病理诊断比较差异无统计学意义(P>0.05);且两种诊断方式检出的结石直径以及瘘口直径比较均差异无统计学意义(P>0.05)。结论 CT诊断胆石性肠梗阻的价值较高,应用效果显著,值得临床进一步推广实施。 Objective To investigate and analyze the CT diagnosis and clinical significance of gallstone ileus.Methods A total of 20 gallstone ileus patients as study subjects were examined by CT,and the results of the examination were analyzed.Results There were 20 cases confirmed as gallstone ileus by CT diagnosis,with detection rate as 100%.CT had detection rate of incomplete intestinal obstruction as 75.00%,detection rate of complete intestinal obstruction as 25.00%,detection rate of ileal position stone as 55.00%,detection rate of jejunal position stone as 35.00%,detection rate of duodenum and gallbladder stones as 10.00%,and there were no statistically significant difference comparing with 70.00%,30.00%,50.00%,40.00% and 10.00% by pathology diagnosis（P〉0.05）.There were no statistically significant difference in detection rate of gallbladder duodenum fistula,gallbladder-colonic fistula and gallbladder-duodenum-colonic fistula by CT and pathology diagnosis（P〉0.05）.There were no statistically significant difference in stone diameter and fistula diameter detected by two diagnostic modes（P〉0.05）.Conclusion CT diagnosis shows remarkable application effect and high value in diagnosis of gallstone ileus,and it is worthy of clinical further promotion and application.

关 键 词： 胆石性肠梗阻 诊断