摘要
目的：探讨高龄急性肠梗阻患者全腹 CT 检查的必要性和临床价值。方法50例在急诊外科就诊的高龄急性肠梗阻患者，全部进行全腹 CT 检查，对所有患者的临床资料、CT 检查和手术及病理结果进行总结分析。结果50例肠梗阻患者经手术病理证实，结直肠癌21例，嵌顿性腹外疝21例，阑尾炎2例，粘连性肠梗阻和肠扭转各2例，肠套叠和粪石肠梗阻各1例，合并小肠穿孔坏死12例；经腹腔镜治疗12例，开腹手术治疗38例；48例患者恢复良好，2例因小肠广泛坏死导致多器官功能衰竭死亡。结论高龄急性肠梗阻患者全腹 CT 检查，有助于快速准确地诊断梗阻原因，全面评估患者的病情，通过选择恰当的手术时机和合理的治疗方式，使患者尽快获得有效治疗，减少和避免不良后果。
Objective To explore the necessities and clinical value of acute intestinal obstruction with com-puted tomography of whole abdomen in over 80 years old patients.Methods 50 patients with acute intestinal obstruc-tion were diagnosed in department of emergency surgery and underwent the abdominal CT examinations.The clinical data,CT and surgery pathology of all patients were compared and analyzed.Results All cases were verified by surgi-cal operation and pathological diagnosis,including colorectal cancer（n =21）and incarcerated abdominal external her-nia（n =21）,appendicitis（n =2）,adhesive intestinal obstruction（n =2）,intestinal volvulus （n =2）,and intestinal intussusception（n =1）and stercoral intestinal obstruction（n =1）,12 cases were accompanied by bowel necrosis and perforation.12 patients were treated by laparoscope surgery,38 cases by open laparotomy,48 patients acquired good recovery,and 2 cases died from extensive bowel necrosis and multi -organ failure.Conclusion CT examination in whole abdomen could rapidly and accurately diagnose the cause of intestinal obstruction,evaluate complications and risks,so as to provide reasonable treatment choice and time,making patients acquired the effective effects as soon as possible,reducing the bad consequences.
出处
《中国基层医药》
CAS
2017年第4期488-491,I0002,共5页
Chinese Journal of Primary Medicine and Pharmacy
基金
广东省韶关市卫生和计划生育委员会科研课题（Y14044）
关键词
肠梗阻
体层摄影术
X
线计算机
老年人
80
以上
Intestinal obstruction
Tomography,X -ray computed
Aged,over 80 years old
