| 腹壁切口疝的多层螺旋CT诊断价值 |
| 投稿时间：2010-04-19 点此下载全文 |
| 引用本文：宋樟伟,葛文,许崇永,陈梅魁,方必东,王营营.腹壁切口疝的多层螺旋CT诊断价值[J].医学研究杂志,2010,39(10):118-120 |
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| 中文摘要:目的探讨腹壁切口疝的多层螺旋CT（MSCT）诊断价值。方法搜集经临床病史证实的腹壁切口疝患者22例，均行MSCT检查，增强扫描9例，回顾性分析疝囊、疝颈及疝内容物，有无肠梗阻及缺血坏死等。结果22例中，直肠癌术后11例，胃癌术后3例，胆道术后3例，输尿管结石、十二指肠穿孔、阑尾恶性肿瘤、腹股沟疝及右肾结核术后各1例，疝囊小于5cm 6例，5~10cm 7例，10cm以上9例；疝颈1.5~9.0cm，平均5.7cm，疝内容物为腹膜外脂肪、大网膜、系膜血管、肠管及邻近器官；合并肠梗阻5例，合并有肠道缺血4例。结论腹壁切口疝CT表现具有特征性，MSCT能较好地显示腹壁缺损大小、疝内容物及肠道缺血征象，为临床手术提供有价值信息。 |
| 中文关键词:切口疝 体层摄影术 X线计算机 |
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| The Diagnostic Value of Multi-slice Spiral CT in Abdominal Incisional Hernia |
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| Abstract:ObjectiveTo evaluate the diagnostic value of multi-slice spiral CT(MSCT) in abdominal incisional hernia. Methods22 patients with abdominal incisional hernia proved by clinical history were included in the study. All cases underwent MSCT examination, in which 9 cases underwent contrast enhanced CT. The hernia sac, hernia neck, hernia contents and whether intestinal obstruction and necrosis happened or not were retrospectively analyzed. ResultsIn 22 cases, there were cases of postoperative rectal cancer,3 cases of gastric cancer,3 cases of biliary tract surgery,1 case of ureteral stone,1 case of duodenal perforation,1 case of appendiceal malignant tumor,1 case of right inguinal hernia and 11 cases of right renal tuberculosis. The size of hernia sac was less than 5cm (n=6), 5~10cm (n=7) and more than 10cm(n=9). The size of hernia neck was 1.5cm~9.0cm,with 5.7cm on average. The hernia contents included extraperitoneal fat, omentum, mesenteric vessels, bowels and adjacent organs. There were 5 cases accompanied with intestinal obstruction, 4 cases with intestinal ischemia.ConclusionMSCT of abdominal incisional hernia has certain characteristic manifestations. It can better demonstrate the size of abdominal wall defect, hernia contents and signs of intestinal ischemia, and provide some valuable information for clinical surgery. |
| keywords:Incisional hernia Tomography X-ray computed |
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