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目的评价多排螺旋计算机断层成像技术小肠造影(MSCTE)对诊断小肠疾病的诊断价值。方法 98例疑为小肠病变的患者行 MSCTE 检查,观察受试者对 MSCTE 的耐受性以及有无并发症,观察分析不同病变的 MSCTE 表现,并以手术病理结果或小肠插管造影、内镜和(或)活检病理的综合诊断结果为金标准来判断 MSCTE 对小肠病变的诊断价值。结果所有受试者均顺利完成 MSCTE,未发现并发症。其中2例为小肠插管造影失败而改行 MSCTE。MSCTE 诊断小肠病变总的灵敏度为96.5%(83/86),MSCTE 结果与最后临床诊断符合率为90.8%(89/98)。结论 MSCTE 是一种简便易行、能多方位、全景式显示小肠的方法,对多种小肠疾病有较高的诊断价值。
Objective To evaluate the diagnostic value of multislice spiral computed tomography (MSCT) in the diagnosis of small bowel diseases. Methods Ninety-nine patients with suspected small intestinal disease underwent MSCTE. The patients were evaluated for their tolerability to MSCTE and the presence or absence of complications. MSCTE findings of different lesions were observed and analyzed. The results of surgical pathology or small bowel intubation, And / or biopsy pathology of the combined diagnosis of gold standard to determine the diagnostic value of MSCTE on small bowel disease. Results All subjects successfully completed MSCTE and no complications were found. Two of them failed to enter the MSCTE due to failure of small bowel cannulation. The overall sensitivity of MSCTE for diagnosis of small bowel lesions was 96.5% (83/86), and the coincidence rate of MSCTE and final clinical diagnosis was 90.8% (89/98). Conclusion MSCTE is a simple, easy, multi-directional, panoramic view of the small intestine, a variety of small intestinal diseases have a high diagnostic value.