摘要:目的:探讨MSCT对粘连束带型腹内疝及合并肠绞窄的应用价值。方法:回顾性分析22例经手术证实的粘连束带型腹内疝患者的临床资料和MSCT影像特征。结果:手术证实22例粘连束带型腹内疝患者中出现小肠梗阻者21例,无明显肠梗阻者1例;1例无血供障碍,10例患者松解粘连带后小肠血供恢复满意,11例患者因小肠坏死行部分小肠切除术,术前MSCT正确诊断粘连束带型腹内疝16例,另3例诊断肠扭转,2例诊断粘连性肠梗阻,1例未见异常;CT判断存在肠绞窄20例,表现为肠系膜血管聚集、扭曲、移位和增粗充血、肠壁水肿、增厚、密度及强化异常、腹水等其中一种或几种征象。MSCT对粘连束带型腹内疝继发肠绞窄判断与手术结果评定一致性较强(Kappa=0.645,t=3.4237,P=0.001)。结论:借助MSCT能对多数粘连束带型腹内疝作出准确诊断,并能评判是否出现肠绞窄,为临床快速制定诊疗方案提供可靠依据。
注:因版权方要求,不能公开全文,如需全文,请咨询杂志社
热门期刊服务
Journal of Systems Science and Complexity Petroleum Science Journal of Systems Science and Systems Engineering Research in Astronomy and Astrophysics Journal of Systems Engineering and Electronics Communications in Theoretical Physics Journal of Computer Science and Technology The Journal of China Universities of Posts and Telecommunications China Petroleum Processing Petrochemical Technology