期刊文献+

超声在诊治肠梗阻中的临床价值 被引量:20

下载PDF
导出
摘要 目的探讨超声在诊断和治疗肠梗阻中的临床价值。方法对经手术证实且术前均行腹部X线平片(简称KUB)、超声、螺旋CT(简称CT)检查的269例肠梗阻患者,比较3种检查方法与手术探查结果的诊断符合率。行腹腔镜手术治疗的粘连性肠梗阻病例中,据术中是否联合超声分为单纯手术组(手术组)、联合组,比较两组手术开始至行腹腔镜探查时间、观察孔长度、与穿插有关的并发症。结果 KUB、超声、CT对肠梗阻诊断符合率分别为70.26%(189/269)、93.31%(251/269)、96.65%(260/269),梗阻部位诊断符合率为54.64%(147/269)、73.61%(198/269)、80.30%(216/269),梗阻病因诊断符合率为36.06%(97/269)、66.54%(179/269)、81.78%(220/269),肠绞窄诊断符合率为32.08%(34/106),69.81%(74/106)、80.19%(85/106),各组比较差异有统计学意义,超声诊断肠梗阻及梗阻原因、部位、肠绞窄的符合率与CT相当,优于KUB。手术组、联合组从手术开始至腹腔探查时间、穿插口长度比较差异有统计学意义,联合组较优。两组与穿插有关并发症发生率比较差异无统计学意义。结论超声对诊断和治疗肠梗阻有重要价值,值得临床推广使用。
出处 《微创医学》 2013年第2期173-175,共3页 Journal of Minimally Invasive Medicine
关键词 超声 X线 CT 肠梗阻
  • 相关文献

参考文献8

二级参考文献31

  • 1王光霞,毕哲明,王艳华,左砚洁,王伟,李佟.肠系膜血管病的超声诊断[J].中华超声影像学杂志,2004,13(6):450-451. 被引量:32
  • 2唐显映,张小明,董国礼,黄小华,杨汉丰,吴宇.肠梗阻的腹部X线平片和CT诊断[J].医学影像学杂志,2005,15(1):50-52. 被引量:44
  • 3朱维铭,李宁,吴性江,王新波,黎介寿.急性肠系膜血管闭塞时肠道的处理[J].中国实用外科杂志,2006,26(10):780-782. 被引量:23
  • 4王炽秋,程胜平.肠梗阻的超声与X线诊断比较[J].浙江中西医结合杂志,2006,16(11):694-695. 被引量:7
  • 5Biondo S, Pares D, Frago R, et al. large bowel obstruction: predictive factors for postoperative mortality [ J ]. Dis Colon Rectum, 2004,47 ( 11 ) : 1889 - 1897.
  • 6Abbas SM, Bissett IP, Parry BR. Meta-analysis of oral water-soluble contrast agent in the management of adhesive small bowel obstruction[ J]. Br J Surg,2007,94(4) :404 -411.
  • 7H. van Goor. Consequences and complications of peritoneal adhesions [ J ]. Colon Dis, 2007,9 ( Suppl2 ) : 25 - 34.
  • 8Levrant SG, Bieber E, Barnes R. Anterior abdominal wall adhesions after laparotomy or laparoseopy [J]. J Am Assoc Gyneeol Laparosc, 1997,4 ( 3 ) : 353 - 356.
  • 9Attard JP, MacLean AR. Adhesive small bowel obstruction : epidemiology, biology and prevention [ J ]. Can J Surg, 2007,50 ( 4 ) : 291 - 300.
  • 10Schwab DP, Blackhurst DW, Sticca RP. Operative acute small bowel obstruction: admitting service impacts outcome [ J ]. Am Surg,2001,67( 11 ) : 1034.

共引文献279

同被引文献106

  • 1温宗炬,谢宏伟,蒋冬轶.超声诊断急性阑尾炎40例[J].西部医学,2007,19(2):283-284. 被引量:7
  • 2吴乃森.腹部超声诊断与鉴别诊断学[M].2版.北京:科学技术文献出版社,2005:405-409.
  • 3吴在德,吴肇汉.外科学[M].北京:人民卫生出版社,2010:296-298.
  • 4Poortman P,Lohle P N,Schoemaker C M,et al.Comparison of CT and sonography in the diagnosis of acute appendicitis:a blinded prospective study[J].AJR Am J Roentgenol,2003,181 (5):1355-1359.
  • 5Cirocchi R , Farinella E , Trastulli S , et al. Safety and efficacy of en doscopic colonic stenting as a bridge to surgery in the management of intestinal obstruction due to left colon and rectal cancer:a systematic review and meta-analysis[ J]. Surg 0ncol,2013,22 ( 1 ) : 14 - 21.
  • 6Primak AN, Giraldo JC,Eusemann CD,et al. Dual-source dual-ener- gy CT with additional tin filtration : Dose and image quality evaluation in phantoms and in vivo[ J]. AIR Am J Roentgeno1,2010,195 (5) : 1164 - 1174.
  • 7Denisenko VL,Gain IuM. Treatment of colorectal cancer complicated by intestinal obstruction using the fast-track recovery technique[ J]. Vestn Khir Im II Grek,2012,171 (5) :69 -72.
  • 8Markar SR, Penna M, Harris A. Laparoseopic appr~aeh to appendec- tomy rednces the incidence of short- and long-term post-operative howe| obstructi~n :systematic review and pooled analysis[J]. J Gas- trointest Surg,2014,18 ( 9 ) : 1683 - 1692.
  • 9Primak AN, Giraldo JC, Eusemmm CD,et al. Dual-soun'e dual-ener- CT with additional tin filtration : dose and image quality evaluation in phantoms and in vivo[ J ]. AJR Am J Roentgenol,2010,195 (5) : 1164 - 1174.
  • 10Cimechi R, Farinella E, Trastulli S, et al. Safety and efficacy of en-doscopie eolonic stenting as a bridge to surgery" in the management of intestinal obstruetion due to lefl colon and rerlal cancer a svslematir review and meta-analysis[ J ]. Surg Onco1,2013,22( 1 ) :14 -21.

引证文献20

二级引证文献179

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部