MSCT诊断少见病因小肠梗阻的应用价值  

Significance of MSCT for the Diagnosis of Small Intestine Obstruction of Rare Causes

作　　者：陈超[1] 杨志远[1] 黄伟[1] 尹阳 

机构地区：[1]四川省乐山市人民医院放射影像科,614000

出　　处：《医学理论与实践》2018年第5期644-646,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨少见病因小肠梗阻的MSCT表现,提高对梗阻病因的诊断水平。方法:收集我院经手术证实15例少见病因引起小肠梗阻患者的MSCT资料,对疾病成因、梗阻部位、病变形态及范围进行回顾性分析。结果:15例中,梗阻病因为粘连性腹内疝5例,腹茧症5例,左侧十二指肠旁疝1例,胃结肠韧带裂孔疝1例,直肠癌miles术后盆底疝1例,节育环所致小肠梗阻1例,耻骨骨折伴发小肠梗阻1例。结论:熟练掌握少见病因的小肠梗阻MSCT表现,对提高肠梗阻病因的诊断和临床制定合理的治疗方案具有重要意义。Objective:To explore the MSCT manifestations of small intestine obstruction of rare causes,so as to improve etiological diagnosis of obstructive diseases.Methods:MSCT data were collected from 15 patients with small intestine obstruction of rare causes that was surgically documented in our hospital,for retrospective analysis of the etiology,site of obstruction,as well as the morphology and involvement of lesions.Results:Among the 15 patients,the cause of the obstructive disease was adhesive abdominal internal hernia for 5 patients,abdominal cocoon for 5 patients,left paraduodenal hernia for 1 patient,hiatal hernia of gastrocolic ligament for 1 patient,pelvic floor hernia following miles resection for rectal cancer for 1 patient,small intestine obstruction caused by IUD for 1 patient,and small intestine obstruction associated with fracture of pubis for 1 patient.Conclusion:Proficiency with the MSCT manifestations of small intestine obstruction of rare causes is significant for the etiological diagnosis of obstructive disease and for formulating rational treatment regimens.

关 键 词：小肠梗阻 腹内疝 体层摄影术 X线计算机 

分 类 号：R445[医药卫生—影像医学与核医学]