ISSN 1004-4140
CN 11-3017/P

256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值

窦娅芳, 唐颖, 解骞, 朱全东, 祝瑞江, 梁宗辉

窦娅芳, 唐颖, 解骞, 朱全东, 祝瑞江, 梁宗辉. 256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值[J]. CT理论与应用研究, 2013, 22(1): 137-146.
引用本文: 窦娅芳, 唐颖, 解骞, 朱全东, 祝瑞江, 梁宗辉. 256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值[J]. CT理论与应用研究, 2013, 22(1): 137-146.
DOU Ya-fang, TANG Ying, XIE Qian, ZHU Quan-dong, ZHU Rui-jiang, LIANG Zong-hui. Application Study of 256 Multidetector-Row Computed Tomography Enterography (MDCTE) in Small Bowel Diseases[J]. CT Theory and Applications, 2013, 22(1): 137-146.
Citation: DOU Ya-fang, TANG Ying, XIE Qian, ZHU Quan-dong, ZHU Rui-jiang, LIANG Zong-hui. Application Study of 256 Multidetector-Row Computed Tomography Enterography (MDCTE) in Small Bowel Diseases[J]. CT Theory and Applications, 2013, 22(1): 137-146.

256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值

详细信息
    作者简介:

    窦娅芳(1985-),女,上海市第一人民医院住院医师,主要从事影像诊断工作,Tel:13917785403,E-mail:doudoudyf@hotmail.com;梁宗辉(1969-),男,上海市静安区中心医院(复旦大学附属华山医院静安分院)副主任医师,复旦大学附属华山医院副教授,硕士生导师,主要从事影像诊断研究,主攻神经影像学和腹部影像学诊断,Tel:021-61578005,021-52888347,E-mail:liangzh@vip.163.com

    通讯作者:

    梁宗辉(1969-),男,上海市静安区中心医院(复旦大学附属华山医院静安分院)副主任医师,复旦大学附属华山医院副教授,硕士生导师,主要从事影像诊断研究,主攻神经影像学和腹部影像学诊断,Tel:021-61578005,021-52888347,E-mail:liangzh@vip.163.com

  • 中图分类号: R445.3

Application Study of 256 Multidetector-Row Computed Tomography Enterography (MDCTE) in Small Bowel Diseases

  • 摘要: 目的:探讨256层多排螺旋CT小肠造影(MDCTE)扫描技术在小肠疾病诊断中的临床应用价值。材料和方法:对118例临床怀疑小肠疾病患者,男53例,女65例,平均年龄48.5岁。行256-MDCTE平扫及增强扫描,通过横断面及多平面重建,观察病变部位、大小、形态、周围侵犯及转移情况,结果与最终临床诊断对照分析。结果:本组118例患者中,56例MDCTE诊断为小肠病变,并与最终临床诊断相符。另外62例MDCTE诊断为阴性,其中47例符合,9例漏诊,6例误诊。并且通过统计分析得出MDCTE对小肠疾病诊断的灵敏度为78.87%(56/71),特异度为100%(47/47),正确率为87.29%((56+47)/118),阳性预测值为100%(56/56),阴性预测值为75.80%(47/62)。结论:小肠肿瘤、炎症、肠梗阻等病变在MDCTE上具有特征性的表现,MDCTE对小肠疾病的临床诊治具有重要价值。
    Abstract: Purpose:To discuss the utility of MDCTE for evaluating diseases of the small bowel.Materials and methods:At our institution,118 patients(male 53;female 65;mean age 48.5 years) with symptoms of suspected small bowel diseases underwent 256-MDCTE.Pertinent MDCTE and histopathology reports were reviewed.The CT appearances characteristic of small-bowel tumor,inflammatory bowel disease and other conditions affecting the small bowel are described and illustrated in detail.Associated complications and extraenteric manifestations also are described.Results:Of 118 MDCTEs performed,the sensitivity,specificity,positive and negative predictive values and accuracy of visual assessment for small bowel disease were 78.87%(56/71),100%(47/47),100%(56/56),75.80%(47/62),and 87.29%((56 + 47)/118),respectively.Conclusion:Our results demonstrated that MDCTE with oral and intravenous contrast is useful in assessing small bowel diseases;however,further studies are needed to determine and validate the full diagnostic and clinical potential of bowel imaging at MDCTE.
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出版历程
  • 收稿日期:  2012-07-26
  • 网络出版日期:  2022-12-12

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