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目的评价X线低张双对比造影检查和多排螺旋CT对原发性小肠肿瘤的诊断价值及其临床意义。方法对26例经病理证实的小肠肿瘤患者行X线低张双对比造影检查、多排螺旋CT双期动态增强扫描,分析小肠肿瘤的特征性影像表现。结果 26例中,腺癌13例,间质瘤7例,腺瘤3例,淋巴瘤2例,神经鞘瘤1例。X线低张双对比造影检查发现10例,检出率37.5%;CT检出率100.0%。结论多排螺旋CT对小肠原发性肿瘤的诊断具有重要价值,已成为目前检查小肠肿瘤最主要的方法。
Objective To evaluate the diagnostic value and clinical significance of low contrast double contrast radiography and multi-slice spiral CT in the diagnosis of primary intestinal tumor. Methods Twenty-six pathologically confirmed patients with small bowel tumors underwent contrast-enhanced low-contrast X-ray contrast and multi-slice spiral CT double-phase dynamic contrast-enhanced MRI to analyze the characteristic imaging findings of small bowel tumors. Results Among the 26 cases, 13 were adenocarcinoma, 7 were stromal tumors, 3 were adenomas, 2 were lymphomas and 1 was schwannoma. X-ray low contrast double contrast examination found 10 cases, the detection rate was 37.5%; CT detection rate of 100.0%. Conclusion Multi-slice spiral CT has important value in the diagnosis of small intestine primary tumors and has become the most important method for the examination of small intestine tumors.