目的探讨多排螺旋CT(multislice  computed  tomography，MSCT)对肠结核的诊断价值。方法  回顾性分析本院经腹部MSCT平扫+增强结合临床表现疑诊为肠结核的34例患者的资料，与手术或病理确诊结果相对照，评价MSCT对肠结核的定位及定性诊断效能。结果  34例经MSCT平扫+增强结合临床表现疑诊为肠结核的患者中，病变位于回盲部28例(90.3%)；升结肠9例(90.0%)；横结肠6例(100%)；降结肠5例(83.3%)；乙状结肠、直肠4例(80%)。经手术或病理确诊为肠结核30例(88.2%)；结肠癌2例；克罗恩病1例；溃疡性结肠炎1例。结论  MSCT对肠结核的定位及定性诊断率高，可作为诊断肠结核的首选检查方法之一。

Objective To investigate the role of contrast-enhanced multislice computed tomography (MSCT) in the patients with intestinal tuberculosis. Methods 34 patients with intestinal tuberculosis were selected for this study on the basis of clinical and radiological criteria. Meanwhile, the biopsy was used as standard for confirming the diseases in all patients of our study. Comparing the results between contrast-enhanced MSCT and biopsy, the point is to analysis the diagnostic accuracy of the intestinal tuberculosis by MSCT. Results In all the patients, the diseases were respectively located at ileocecal junction (28), ascending colon (9), transverse colon (6), descending colon (5) and sigmoid colon (5). Biopsy features show 30 cases with a final diagnosis of intestinal tuberculosis by biopsy, 2 cases with colon cancer, 1 case with crohn disease and 1 case with ulcerative colitis. Conclusion contrast-enhanced MSCT may play a crucial role for diagnosing intestinal tuberculosis.