脾切除术后左上腹腔脓肿X线表现特征探讨  

A study on roentgenologic features of left superior peritoneal abscesses post splenectomy.

作　　者：刘荣波[1] 闵鹏秋[1] 刘燕[1] 

机构地区：[1]华西医科大学附属第一医院,610041

出　　处：《四川医学》2000年第9期761-762,共2页Sichuan Medical Journal

摘　　要：目的　探讨脾切除术后左上腹腔脓肿的类型及其 X线表现特征。方法　观察分析我院 2 6例经手术证实的脾切除术后左上腹腔脓肿 X线表现 ,所有病例均作了腹部平片 ,13例作胃肠钡餐检查 ,10例作脓腔或窦道造影。结果　 2 6例中 2 3例均累及一个以上间隙 ,且脾窝均有受累。其中前外型 4/2 3例 (17.4% ) ,后外型 12 /2 3例 (5 2 .2 % ) ,网膜囊型 7/2 3例 (30 .4% ) X线表现与未切脾状态下左上腹腔脓肿的表现不同且与切脾方式有一定关系。结论　常规腹部 X线检查可以在一定程度显示脾切除术后左上腹腔脓肿的部位和范围 ,对周围脏器的影响以及向腹膜后间隙扩散的征象。Objective To investigate the X-ray features of abscesses of left superior peritoneum.Methods We retrospectively observed and analyzed the X-ray manifestations of 26 cases of left superior peritoneal abscesses post splenectomy identified surgically.All of these cases had X-ray plain films,13 underwent GI barium study,and 10 went through the contrast study of abscess cavity and fistula.Results Among the 26 cases of left peritoneal abscesses,23 had multiple space involvment (including the splenic recess),which could be divided into 3 types:anterior-lateral type in 4/23(17.4%),posterior-lateral type in 12/23(52.2%),and omentum sac type in 7/23(30.4%).The X-ray manifestations were correlated with the operation style of the splenectomy.Conclusion Routine abdominal X-ray studies could reveal the location and extent,the displacment of the surrounding organs of the left superior peritoneal abscesses post splenectomy,and some signe of infectious extension to the retroperitoneum.

关 键 词：脾切除术 X线表现 左上腹腔脓肿 X线诊断 

分 类 号：R657.5[医药卫生—外科学]