成人小肠梗阻少见病因的MSCT分析  

MSCT analysis of rare causes of small bowel obstruction in adult

作　　者：孙典学[1] 高绪发 王洲[1] 李文华[1] 

机构地区：[1]青岛大学医学院附属海慈医院,山东青岛266033 [2]山东省青岛市城阳区第二人民医院,山东青岛266112

出　　处：《中国中西医结合影像学杂志》2014年第5期475-477,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:分析成人小肠梗阻(small bowel obstruction,SBO)少见病因的MSCT表现,提高对SBO病因的诊断水平。方法:回顾性分析17例由少见病因引起的成人SBO患者的临床资料和MSCT表现,着重于病因分析。结果:17例中,梗阻病因为十二指肠旁疝3例,肠旋转不良伴中肠扭转1例,小肠套叠2例,植物粪石8例,胆结石2例及左侧闭孔疝1例。所有病因均具有特征性CT表现。结论:认识SBO的少见病因及其CT表现,对提高SBO病因的诊断和临床治疗具有重要意义。Objective：To analyze MSCT findings of rare causes of small bowel obstruction （SBO） in adult and improve diagnos tic accuracy. Methods. Clinical data and MSCT images of 17 patients with rare obstructive etiology proved by surgery were re viewed retrospectively,the emphasis was on the etiology analysis. Results： Among the 17 patients, paraduodenal hernia were found in a cases,malrotation with midgut volvulus in 1 case, small bowel intussusception in 2 cases, phytobezoar in 8 cases,gallstone in 2 cases and the left obturator hernia in 1 case. Each of these etiologies showed characteristic CT findings. Conclusion： Awareness of these rare causes of SBO and their CT features can help to improve preoperative diagnosis and surgical planning.

关 键 词：小肠梗阻 少见病因 体层摄影术 X线计算机 

分 类 号：R816.5[医药卫生—放射医学] R574.5[医药卫生—临床医学]