摘要
目的 探讨术后早期炎性肠梗阻的螺旋CT表现,以提高对该病的诊断水平.方法 收集浙江丽水市中心医院放射科2003年8月至2008年10月资料齐全的35例手术证实的术后早期炎性肠梗阻CT表现进行回顾性分析.结果 CT表现主要有:(1)不全性肠梗阻 (2)局部或大部分肠壁水肿增厚 (3)积液,可以表现为广泛渗出或局部渗出,广泛渗出即腹腔内少量或中等量渗出液,以手术切口处为主 局部渗出型CT表现为切口周围肠间隙渗出积液改变 (4)无明确梗阻点或粘连扭折点 (5)CT增强扫描表现为局部环形或延迟强化模式增强扫描呈延迟强化或无明显强化模式.结论 螺旋CT对诊断术后早期炎性肠梗阻有重要价值.
Objective To discuss the computerized tomography (CT) finding of early postoperative inflammatory small bowel obstruction(EPISBO)so as to enhance its diagnostic level.Methods The CT findings of 35 EPISBO cases proved by surgery were retrospectively analyzed from August 2003 to October 2008.Results The main CT findings were as follows: (1) Incomplete small bowel obstruction (2)Thickening and edema of focal or global bowel wall (3) Local or diffuse effusion mainly around operative incision (4) Without definite obstruction point or bent adhesive point (5) Locally ring-shaped or delayed enhancement during an enhancement scan.Conclusion Spiral CT has an important value in the diagnosis of EPISBO.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2010年第45期3214-3216,共3页
National Medical Journal of China
基金
基金项目:浙江省科技支撑引导计划面上项目(2007C33017)
关键词
肠梗阻
体层摄影术
X线计算机
手术后并发症
Intestinal obstruction Tomography,X-ray computed Postoperative complications