多层螺旋CT检查在腹外疝诊断中的应用价值研究进展  

Advances in the value of multi-slice spiral CT in the diagnosis of abdominal hernia

作　　者：李春爱[1] 申京哲[1] 杨学东[2] LI Chun’ai;SHEN Jingzhe;YANG Xuedong(Department of Radiology,Second People's Hospital of Yanbian in Jilin Province,Yanji 133001,China;Department of Radiology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]吉林省延边第二人民医院影像科,吉林延吉133001 [2]中国中医科学院广安门医院放射科,北京100053

出　　处：《中国现代医生》2018年第36期165-168,共4页China Modern Doctor

摘　　要：腹外疝是普通外科常见病和多发病,可伴肠梗阻等并发症,绝大多数需要手术治疗。诊断主要依据临床表现和体检,但存在一定的误诊率。多层螺旋电子计算机断层扫描(MSCT)检查及后处理技术在腹外疝的诊断中应用广泛,能清楚显示疝的部位、疝环及疝囊的形态与大小、疝内容物的来源及走行途径、正确判断疝的类型、并发症,还能排除其他腹壁疾病。并可为外科术前评价提供充足的依据,帮助优化手术治疗计划。本文对MSCT在腹外疝诊断方面的应用价值进行综述。Abdominal hernia is a common and frequently-occurring disease in general surgery,which can be accompanied by complications such as intestinal obstruction.Most of them require surgery.The diagnosis is mainly based on clinical manifestations and physical examination,but there is a certain rate of misdiagnosis.Multi-slice spiral computed tomography(MSCT)examination and post-processing techniques are widely used in the diagnosis of abdominal hernia,which can clearly show hernia site,shape and size of the hernia sac and the ring,correctly determine the type and complications of hernia,and can also rule out other abdominal wall diseases.It also provides an adequate basis for preoperative evaluation to help optimize surgical treatment planning.This article reviews the application value of MSCT in the diagnosis of abdominal hernia.

关 键 词：疝 腹部 体层摄影术 X线计算机 

分 类 号：R656.2[医药卫生—外科学] R445.3[医药卫生—临床医学]