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多层螺旋CT在肠系膜缺血中的应用——要点与陷阱

Multidetector CT imaging in mesenteric ischemia--pearls and pitfalls.

作者信息

Wasnik Ashish, Kaza Ravi K, Al-Hawary Mahmoud M, Liu Peter S, Platt Joel F

机构信息

Division of Abdominal Imaging, Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, Taubman Center, B1-132 F, Ann Arbor, MI 48109, USA.

出版信息

Emerg Radiol. 2011 Apr;18(2):145-56. doi: 10.1007/s10140-010-0921-8. Epub 2010 Dec 4.

DOI:10.1007/s10140-010-0921-8
PMID:21132342
Abstract

Mesenteric ischemia is a complex and devastating disease which still remains a diagnostic challenge to the clinicians due to non-specific clinical and laboratory findings. Several imaging features have been described with multidetector computed tomography which allows the diagnosis of mesenteric ischemia with high sensitivity and specificity. However, there are imaging features which overlap with other pathologies including benign inflammation and infection. Knowledge of imaging findings in mesenteric ischemia and its potential mimics is important in early and definitive diagnosis.

摘要

肠系膜缺血是一种复杂且具有破坏性的疾病,由于其临床和实验室表现不具有特异性,对临床医生而言仍是一项诊断挑战。多排螺旋计算机断层扫描已描述了多种影像学特征,其能够以高灵敏度和特异性诊断肠系膜缺血。然而,有些影像学特征与包括良性炎症和感染在内的其他病理情况存在重叠。了解肠系膜缺血及其潜在模仿病变的影像学表现对于早期明确诊断很重要。

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Radiology. 2010 Jul;256(1):93-101. doi: 10.1148/radiol.10091938.
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Prognostic value of multidetector computed tomography in bowel infarction.多层螺旋计算机断层扫描在肠梗死中的预后价值
急性小肠缺血的综合综述:CT 成像表现、要点及陷阱。
Emerg Radiol. 2022 Jun;29(3):531-544. doi: 10.1007/s10140-022-02028-2. Epub 2022 Feb 5.
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Insights Imaging. 2021 Apr 29;12(1):56. doi: 10.1186/s13244-021-00985-9.
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