腹壁疝的螺旋CT表现及临床应用  

Evaluation of Hernias of Abdominal Wall with Multi-slice CT

作　　者：原珍团[1] 邓开鸿[2] 余建群[2] 张小鸽[1] 邓珍萍[1] 

机构地区：[1]成都市第二人民医院影像科,四川成都610017 [2]四川大学华西医院放射科,四川成都610041

出　　处：《华西医学》2009年第9期2378-2380,共3页West China Medical Journal

摘　　要：目的：探讨螺旋CT对腹壁疝的诊断价值和临床意义。方法：收集被手术证实的腹壁疝86例,术前均进行螺旋CT检查。观察腹壁疝的部位、数目、疝囊大小、疝内容物及并发症。结果：86例腹壁疝中,腹股沟斜疝38例（双侧7例）,腹股沟直疝8例,腹壁切口疝19例,造瘘口疝6例,闭孔疝3例,脐疝8例,白线疝2例,双侧腹股沟斜疝伴右下腹壁切口疝1例,双测腹股沟斜疝伴左下腹壁造瘘口疝1例。疝囊直径在5 cm以下者45例,6-10 cm者38例,10 cm以上者3例,腹壁疝伴小肠不全梗阻者21例,切口疝伴感染1例。螺旋CT可以显示腹壁疝的种类、数目、疝囊大小、疝内容物类型及存在的并发症。结论：螺旋CT是腹壁疝的一种非常有效的检查方法,可以为外科综合评价患者病情及进行有效手术治疗提供重要依据。Objective： To evaluate the usefulness of multi slice CT examination in the diagnosis of the abdominal wall hernias. Methods： The hernias of abdominal wall of 86 cases were all undergone multi-slice CT examination and proved by surgeons. Results： In 86 cases, there were the hernia of operative incision （n= 19）, the hernia of lineal alba （n=2）, the ambilical hernia （n=8）, the inguinal hernia （n=46）, the hernia of medical opening of abdominal wall （n =6）, the obturator hernia （n=3）, three hernias in one case （n=2）. Usually, the diameters of hernia of operative incision and medical opening of abdominal wall were larger than the else. In the same time, small bowel obstruction was found in 21 cases and one infection in the hernia of operative incision. Multi-slice could display the type, number, size, content and complication of the hernias. Conclusion： Multi-slice CT examination is helpful in the diagnosis of the abdominal wall hernias and plays an important role in hernia surgery.

关 键 词：腹壁疝 螺旋CT 

分 类 号：R656.2[医药卫生—外科学] R814.42[医药卫生—临床医学]