评估直肠扩张对肠道功能的影响,采用斜视CT成像
Kaito Yamasawa1, Hidejiro Kawahara2, Seiya Fujii1
1Department of Surgery, National Hospital Organization Nishisaitama-chuo National Hospital, Saitama, Japan.
通过 sagittal computed tomography (CT) 评估的直肠扩张与肠道功能障碍有关. 在CT上测量特定的直肠直径可能有助于诊断无直肠运动障碍.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 结肠直肠手术 结肠直肠手术
背景情况:
- 直肠膨胀显著影响肠道功能,但确切的关系尚不清楚.
- 研究直肠的解剖变化对于理解肠道运动障碍至关重要.
研究的目的:
- 为了评估直肠扩张和肠道功能之间的关系,使用 sagittal 计算机断层扫描 (CT) 成像.
- 确定基于CT的潜在标准,用于诊断直肠运动障碍.
主要方法:
- 对60名经过手术的结肠癌患者 (不包括阻塞性病例) 的回顾性分析.
- 使用轴向和斜腰CT成像测量了直肠直径,并将其与第五腰椎椎体直径进行比较.
- 具体测量是在第二个和第四个椎的下边缘进行的.
主要成果:
- 在43.3%的患者中观察到直肠扩张.
- 36.7%的患者接受了便秘的药,其中86.4%的患者同时出现上下直肠扩张.
- 隔离时没有发生上直肠扩张;63%没有扩张的患者在第三个十字椎上方不需要药.
结论:
- 斜腰CT成像对于评估直肠解剖变化是有效的.
- 在斜CT上,第三个交叉脊椎的下边缘的直肠直径可以作为直肠运动障碍的诊断标准.
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