Effectiveness of Application of Plain MSCT Scan in Staging Diagnosis
and Analysis of Different Traditional Chinese Medicine Syndrome Types
of Duodenal Ulcer Perforation
PU Jiang1, WU Yu-hui1,LI Zhan-zhong2, TIAN Lei-chao1,WANG Xin3, ZHOU Tao1
1.CT Room, Tangshan Hospital of
Traditional Chinese Medicine, Tangshan
Hebei 063000, China; 2.Department of
Radiology, Majiagou Hospital of Kailuan,
Kailuan Hebei 063002, China; 3.Department
of Radiology, Caofeidian District Hospital of
Tangshan, Tangshan Hebei 063000, China
Abstract：Objective To investigate the effectiveness of application of plain multi-slice spiral CT (MS
CT) scan and the multi-planar reconstruction (MPR) technique in treatment and diagnosis of different
TCM (Traditional Chinese Medicine) syndrome types of duodenal ulcer perforation. Methods Altogether
126 patients who were confirmed as duodenal ulcer perforation by gastroscopic/gastrointestinal double
contrast examinations and treated in the hospital from January 2015 to January 2016 were selected
as the research objects. All patients underwent plain MSCT scan and MPR, and were divided into
TCM syndrome types according to the etiology and pathogenesis. The distribution rule of TCM
syndromes in 126 patients was observed and all the patients were diagnosed according to the spiral
CT imaging findings so as to analyze and summarize the CT imaging findings of different TCM
syndromes. Results According to the etiology, pathogenesis and clinical manifestations, patients
were divided into liver stomach heat type, blood deficiency type and blood stasis type; according to
spiral CT imaging results, 119 patients were confirmed as duodenal ulcer perforation, consistent with
clinical results, Kappa=0.753. In contrast with gastroscopic/gastrointestinal double contrast examinations,
CT imaging findings showed no statistically significant difference, (P>0.05). The spiral CT images
of patients with different TCM syndrome types of duodenal ulcer perforations showed statistically
significant differences. (P<0.05) Conclusion Combination of plain MSCT scan and MPR demonstrated
high accurate rate in diagnosis of duodenal ulcer perforation and excellent effectiveness in differentiation
of different TCM syndrome types, which was of great significance in wider clinical application and
popularization.
浦江1，吴玉辉1，李湛忠2，田雷超1，王欣3，周涛1. 多层螺旋CT在十二指肠溃疡分期诊断及中医症候分析中的应用价值[J]. 中国医疗设备, 2016, 31(9): 60-62.
PU Jiang1, WU Yu-hui1,LI Zhan-zhong2, TIAN Lei-chao1,WANG Xin3, ZHOU Tao1. Effectiveness of Application of Plain MSCT Scan in Staging Diagnosis
and Analysis of Different Traditional Chinese Medicine Syndrome Types
of Duodenal Ulcer Perforation. China Medical Devices, 2016, 31(9): 60-62.
