102例盲肠下垂的影像学诊断临床意义  

Clinical significance of imaging diagnosis for 102 cases of cecoptosis

作　　者：金光玉[1] 赵志梅[1] 金东洙[2] 延光海[2] 

机构地区：[1]延边大学附属医院医学影像科,吉林延吉133000 [2]延边大学基础医学院解剖学与组织胚胎学教研部,吉林延吉133000

出　　处：《延边大学医学学报》2009年第1期41-43,共3页Journal of Medical Science Yanbian University

摘　　要：[背景]探讨盲肠下垂的影像学诊断的临床意义．[病例报告]对经影像学检查诊断为盲肠下垂的102例进行回顾性分析，其中男性为63例，女性为39例；年龄为12～72岁，平均为46岁．根据影像学检查结果进行盲肠下垂分度，即盲肠下降至小骨盆腔内且未超过小骨盆腔中线者为I度，越过小骨盆腔水平中线达耻骨联合上缘者为Ⅱ度，盲肠远端达腹中线者为Ⅲ度．盲肠下垂Ⅰ度者为67例，Ⅱ度者为28例，Ⅲ度者为7例，Ⅱ，Ⅲ度患者主要临床症状为便秘、腹胀、右下腹疼痛、下坠感、一过性尿频、便后后重感及腹泻等．[讨论]影像学诊断在盲肠下垂分度诊断中有意义．BACKGROUND To study the clinical significance of imaging diagnosis for cecoptosis. CASE REPORTS102 cases of cecoptosis, in witch 63 cases of male, 39 cases of female and 12-72 years old （mean age was 46）, were retrospectively analyzed. The cecoptosis was divided into three grades, the cecum is in the pelvic canal but above the middle line of the pelvic canal as degree Ⅰ , the position cecum is between the middle line of the pelvic canal and the level of upper margin of pubic bone as degree Ⅱ , and the end of the cecum reaches the anterior median line as degree Ⅲ. Of 102 patients, 67 cases were degree I of cecoptosis, 28 cases degree Ⅱ , and 7 cases degree Ⅲ. The main of manifestations in patients with degree Ⅱ and Ⅲ of cecoptosis were constipation, abdominal distension, pain in right lower abdomen, transient high frequency of micturition, tenesmus and diarrhea. DISCUSSION The imaging diagnosis has important clinical significance for grade of cecoptosis.

关 键 词：内脏下垂 盲肠 钡化合物 放射摄影术 

分 类 号：R656.9[医药卫生—外科学]