结肠和直肠穿孔——CT结肠成像一种新发现的并发症。

Perforation of the colon and rectum--a newly recognized complication of CT colonography.

作者信息

Sosna Jacob, Sella Tamar, Bar-Ziv Jacob, Libson Eugene

机构信息

Department of Radiology, Hadassah Hebrew University Medical Center, POB 12000, Jerusalem, Israel.

出版信息

Semin Ultrasound CT MR. 2006 Apr;27(2):161-5. doi: 10.1053/j.sult.2006.01.005.

DOI:10.1053/j.sult.2006.01.005

PMID:16623370

Abstract

CT colonography (CTC) and conventional colonoscopy may have similar efficacy for detection of polyps > 6 mm. Perforation of the colon and rectum is a relatively rare, but potentially morbid complication of CTC, especially in symptomatic patients. Older age and underlying concomitant colon pathology increase the risk of perforation. This review describes the incidence, clinical features, and management of colon perforations at CTC, a study that was considered risk-free until recently.

摘要

CT结肠成像（CTC）和传统结肠镜检查在检测直径大于6mm的息肉方面可能具有相似的效果。结肠和直肠穿孔是CTC相对罕见但可能导致发病的并发症，尤其是在有症状的患者中。年龄较大和潜在的结肠合并病变会增加穿孔风险。本综述描述了CTC时结肠穿孔的发生率、临床特征及处理，直到最近该检查一直被认为是无风险的。