Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica

Acta Academiae Medicinae Sinica ›› 2018, Vol. 40 ›› Issue (2): 139-145.doi: 10.3881/j.issn.1000-503X.2018.02.001

• Original Articles •     Next Articles

Clinical Value of Multi-slice Spiral Enhanced CT in Diagnosing Mild Digestive Tract Hemorrhage

WEN Xiaoling1, WANG Li2, SONG Xiaoqin2, ZHANG Zhi2, ZHU Xiaofang2, WU Shaoping2()   

  1. 1Department of Radiology,Fourth Hospital of West China,Sichuan University,Chengdu 610041,China
    2 Department of Radiology,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China
  • Received:2017-06-12 Online:2018-04-28 Published:2018-05-03
  • Supported by:
    Supported by the Independent Foundation of the First Affiliated Hospital of Chengdu Medical College(CYFY11DL-001)


Objective To investigate the clinical value of multi-slice spiral CT(MSCT) in the diagnosis of mild digestive tract hemorrhage. Methods Thirty-five patients with mild gastrointestinal hemorrhage were examined by enhanced MSCT.CT signs were observed and compared with pathologic examination findings.Results Diseases in these 35 patients included gastric and duodenal ulcer and inflammation(n=4,11.4%),esophagogastric variceal rupture(n=7,20.0%),gastric carcinoma(n=3,8.6%),gastric stromal tumor(n=3,8.6%),gastric polyp(n=1,2.9%),colonic malignancy(n=5,14.2%),small intestinal stromal tumor(n=6,17.1%),rectal cancer(n=2,5.7%),intestinal Crohn disease(n=3,8.6%),and jejunum diverticulum combined with hemorrhage(n=1,2.9%).All of them were diagnosed by endoscopy of the digestive tract and confirmed by operation and pathology.The accuracy rate of CT was 100%.The coincidence rate of CT diagnosis was 97.1%.Conclusion MSCT is a promising technique in the localization,qualitative diagnosis,and clinical treatment of mild gastrointestinal hemorrhage.

Key words: multi-slice spiral CT, digestive tract hemorrhage, diagnostic value

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