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| Effectiveness of combination of application of multi-slice spiral CT angiography and hypotonic enterography in diagnosis of small intestinal hemorrhagic disease |
| HU Hai-jing1 PENG Rong-hua2 GAO Feng2 XU Xin-chao1 |
1.Department of Radiology,Nanhai District People′s Hospital of Foshan City,Guangdong Province,Foshan 528200,China;
2.Department of Radiology,Nanhai District Guicheng Hospital of Foshan City,Guangdong Province,Foshan 528200,China |
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Abstract Objective To study the effectiveness of combination of application of multi-slice spiral CT angiography(MSCTA)and hypotonic enterography in diagnosis of small intestinal hemorrhagic diseases.Methods Altogether 45 cases of clinically suspected small intestinal hemorrhagic diseases who were hospitalized in Nanhai District People′s Hospital of Foshan,from August 2016 to August 2017 were retrospectively analyzed and examined by using MSCTA combined with hypotonic enterography.Before scanning,all the patients orally took isosotic mannitol and intramuscular anisodamine (654-2)on the basis of full filling of the intestinal cavity and then underwent multi slice spiral CT small intestinal angiography.The contrast effect and detection rate of 45 cases were analyzed.Results The duodenum,jejunum,ileum and ileocecal filling were good,with low density isosotic liquid in the intestinal cavity;the fat in the intestinal cavity,intestinal wall and the surrounding intestine were clear,and the mesenteric vessels could be shown to the level of 3 or above.Pathological changes were found by the surgery and endoscopic biopsy in 32 cases.The lesion detection rate by using CT was 86.1%(31/36),and the coincidence rate was 87.5%(28/32)in contrast with pathology.Conclusion Application of combination of multi slice spiral CT angiography (MSCTA)and hypotonic enterography has a good effect in the diagnosis of small intestinal hemorrhagic diseases.It is of great significance in guidance of the selection of clinical treatment scheme,evaluation of the surgical effect and estimation of the prognosis,which has high clinical application and popularization value.
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| [1] |
李操.多层螺旋CT口服低张小肠造影的临床应用研究[D].泸州：西南医科大学，2016.
|
| [2] |
廖忠剑，王肇平，刘艳平.多层螺旋CT低张小肠造影诊断小肠肿瘤的临床研究[J].当代医学，2017，23（14）：106-107.
|
| [3] |
王传彬.能谱CT等渗甘露醇溶液胃肠低张造影在直肠癌术前评估中的应用研究[D].合肥：安徽医科大学，2016.
|
| [4] |
李传俊，钟世燕，伍鑫，等.口服等渗甘露醇多层螺旋CT小肠造影的临床应用研究[J].中国实用医药，2016，11（35）：24-26.
|
| [5] |
Lee HJ，Cheon JH.Optimal diagnosis and disease activity monitoring of intestinal Behcet′s disease[J].Intest Res，2017，15（3）：311-317.
|
| [6] |
潘金万，阙松林，谢开琼，等.MSCT在小肠慢性出血性疾病诊断中的应用[J].中国中西医结合影像学杂志，2016，14（4）：442-444.
|
| [7] |
李婷.经病理证实的小肠出血性疾病的临床分析[D].重庆：重庆医科大学，2016.
|
| [8] |
赵永强.出血性疾病的诊断思路[J].中国实用内科杂志，2017，37（5）：369-372.
|
| [9] |
高钧明，阚子凤，赵芳，等.出血性疾病的诊断与治疗研究[J].中外医疗，2017，36（8）：70-72.
|
| [10] |
任小军，章士正，刘海，等.X线、CT和MRI对小肠Crohn病诊断价值的评价[J].中国医学计算机成像杂志，2005，11（3）：184-189.
|
| [11] |
任为端，陶天武，赵海生，等.多层螺旋CT低剂量扫描技术在小肠疾病诊断中的临床应用[J].黑龙江医学，2016，40（10）：935-936.
|
| [12] |
Hong Z，Ren J，Li Y，et al.Delayed diagnosis is associated with early and emergency need for first crohnsdisease-related intestinal surgery[J].Med Sci Monit，2017，23：4841-4846.
|
| [13] |
刘亚龙.64排128层CT小肠成像与胶囊内镜对小肠疾病诊断的对比研究[J].医药前沿，2016，6（13）：48-49.
|
| [14] |
Vaiphei K，Kumari N，Sinha SK，et al.Roles of syndecan-1，bcl6 and p53 in diagnosisand prognostication of immunoproliferative small intestinal disease[J].World J Gastroenterol， 2006，12（22）：3602-3608.
|
| [15] |
Ma JY，Tong JL，Ran ZH.Intestinal tuberculosis and Crohn′s disease：challengingdifferential diagnosis[J].JDig Dis，2016，17（3）：155-161.
|
| [16] |
殷赵华.128层螺旋CT小肠造影术的临床应用[J].实用医技杂志，2017，24（10）：1071-1072.
|
| [17] |
Bae JH，Park SH，Ye BD，et al.Development and validation of a novel prediction model for differential diagnosis between Crohn′s disease and intestinal tuberculosis.[J].Inflamm Bowel Dis，2017，23（9）：1614-1623.
|
| [18] |
肖琼，胡贵锋，熊淑红.多层螺旋CT小肠造影在小肠疾病诊断中的价值分析[J].基层医学论坛，2016，20（34）：4867-4868.
|
|
|
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