MSCT在血管性腹痛诊断中的价值

目的:探讨非消化系统疾病引起腹部疼痛的MSCT表现及其诊断价值。方法:回顾性分析经CT检查和临床随访确诊的42例血管源性腹痛患者的CT资料,包括CT平扫、增强扫描及后处理(多平面重建、曲面重建、最大密度投影、容积再现、表面遮蔽法)进行血管成像的图像。结果:上腹部血管狭窄17例,动脉炎1例;腹膜后纤维化1例;动脉夹层9例;壁间血肿5例;动脉瘤8例,肠系膜挫伤并腹膜后血肿1例。结论:MSCT增强扫描结合后处理技术能较好地发现血管源性腹痛的部位、原因及范围,是诊断血管源性腹痛的较好检查手段。

The value of multislice spiral CT in the diagnosis of vascular abdominal pain

Objective：Explore and discuss the value of MSCT（ multi-slice spiral CT） in the diagnosis of abdominal pain caused by non-digestive system. Methods： Retrospectively analyze forty-two patients with vascular abdominal pain proved by CT and clinical follow-up. All cases underwent plain CT scan, angiography-CT scanning of the abdomen and post-processing （ MPR, CPR, MIP, VR and SSD）. Results：The imaging of MSCT scan and its reconstruction showed the cause resulted in forty-two patients with angiogenic abdomen, including 17 epigastric angiostenosis ; 1 arteritis ; 1 retroperitoneal fibrosis,9 dissecting aneurysm ,5 intramural hematoma, 8 abdominal aneuryam and 1 tramatic mesenteric hematomas. Conclusion：MSCT combined its reconstruction technique can clearly visualize the location,cause and extent of vascular abdominal pain,which is a very useful means for evaluating the presence of it.