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目的探讨128层螺旋CT对肠扭转的诊断价值。方法回顾性分析40例术前CT明确诊断并经手术证实为肠扭转的临床及影像资料。结果40例全部经手术证实,其中小肠扭转31例,十二指肠扭转1例,结肠扭转8例。26例肠管有漩涡征,28例肠系膜血管有漩涡征,21例有香蕉征,28例有鸟喙征,3例有肠系膜上静脉和动脉换位征,32例有靶环征,10例肠系膜动脉有血栓形成。结论128层螺旋CT及后处理技术的综合运用对肠扭转的定位及定性有重要价值,可作为首选检查方法。“,”Objective Study 128 F spiral the CT turn round to the bowel of diagnosis value. Methods Review analysis 40 before the Shu the CT explicit diagnosis combine through surgical operation confirmation turn round for the bowel of clinical and image data. Results 40s are al through surgical operation confirmation, among them, the smal intestines turn round 31, 12 the bowel turn round 1 and the colon turn round 8.26 bowel tube has whirlpool to advertise for and 28 bowel fasten film blood vessel to have whirlpool to advertise for and 21 have banana to advertise for and 28 have beak to advertise for and 3 have bowel to fasten a film to change to advertise for up vein and artery, 32 have Ba wreath to advertise for, and 10 bowel fasten film artery to have blood to bolt formation. Conclusion 128 F spiral CT and empress processing technique of comprehensive usage turn round to the bowel of fixed position and set le sex have importance value, Be that the head choose check method.