MSCT in diagnosis of strangulation of adhesive intestinal obstruction
10.13929/j.1003-3289.201809045
- Author:
Wei LIU
1
Author Information
1. Department of Medical Radiology, Yantai Affiliated Hospital of Binzhou Medical University
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Tomography;
X-ray computed
- From:
Chinese Journal of Medical Imaging Technology
2019;35(4):560-563
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic value of MSCT in the strangulation of adhesive intestinal obstruction. Methods MSCT findings of 70 patients with adhesive intestinal obstruction confirmed by surgery and pathology were retrospectively analyzed, and their diagnostic values were evaluated. Results In all 70 cases of adhesive intestinal obstruction, strangulation was confirmed by surgery and pathology in 34 cases, of which 26 had a history of previous abdominal surgery. Twenty-nine cases were diagnosed by MSCT. Among MSCT findings, contrast enhancement reduction of intestinal wall, diffuse mesenteric edema and vascular thickening, mesenteric hydrops, thickening of the intestinal wall as well as C/U shaped intestinal loop were related to the strangulation(all P<0.05). The sensitivity, specificity and accuracy of MSCT in diagnosis of strangulation of adhesive intestinal obstruction was 85.29% (29/34), 100% (36/36), 92.86% (65/70), respectively. Conclusion MSCT have high value in predicting strangulation of adhesive intestinal obstruction.
