超声在肠梗阻诊断及管理中的应用进展  

Application of ultrasound in diagnosis and management of intestinal obstruction

作　　者：孙冲 李敏龙(综述)[3] 庄华(审校)[1] SUN Chong;LI Minlong;ZHUANG Hua(Department of Ultrasound,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Ultrasound,The Forth People's Hospital of Zigong,Zigong 643000,Sichuan,China;Department of Radiology,The Forth People's Hospital of Zigong,Zigong 643000,Sichuan,China)

机构地区：[1]四川大学华西医院超声科,四川成都610041 [2]自贡市第四人民医院超声科,四川自贡643000 [3]自贡市第四人民医院放射科,四川自贡643000

出　　处：《西部医学》2020年第4期612-615,624,共5页Medical Journal of West China

基　　金：国家自然科学基金(81101061);四川省科技厅支撑项目(2017JY0074)。

摘　　要：随着近年来超声仪器的进步,技术水平的提升,高分辨超声探头配合谐波成像,显著提高了超声对肠壁的实时分辨率,可动态评估肠蠕动。彩色多普勒可用于评价肠壁内血管化,脉冲多普勒可用于定量腹腔和肠系膜上动脉的血流等,且具有成本低,无辐射,无侵入及安全、可重复性强等特点,以致超声在肠梗阻诊断中的应用越来越广泛。本文就超声对肠梗阻的检测方式,影像学表现特征及对临床的管理指导等方面进行综述,以探讨超声在肠梗阻诊断及管理中的应用价值。In recent years, with the progress of ultrasonic instruments and the improvement of technical level, high-resolution ultrasound probe combined with harmonic imaging can significantly improve the real-time resolution of ultrasound to the intestinal wall, and can dynamically evaluate the peristalsis of the intestine. Color Doppler can be used to evaluate the vascularization of the intestinal wall. Pulse Doppler can be used to quantify the blood flow of abdominal cavity and superior mesenteric artery, which has the characteristics of low cost, no radiation, no invasion, safety and strong repeatability, so that the application of ultrasound in the diagnosis of intestinal obstruction is more and more extensive. In this paper, the detection methods, imaging features and clinical management guidance of ultrasound for intestinal obstruction were reviewed to explore the application value of ultrasound in the diagnosis and management of intestinal obstruction.

关 键 词：肠梗阻 超声诊断 肠梗阻管理 应用价值 

分 类 号：R445[医药卫生—影像医学与核医学] R574.2[医药卫生—诊断学]