發(fā)布時(shí)間：2018-05-16 08:50

  本文選題：閉孔疝 + 體層攝影術(shù)��； 參考：《臨床放射學(xué)雜志》2015年10期

【摘要】：目的探討閉孔疝術(shù)前MSCT檢查冠狀位重建的臨床價(jià)值。方法回顧性研究經(jīng)手術(shù)病理確診的閉孔疝患者15例,術(shù)前均行MSCT檢查,其中5例行增強(qiáng)掃描。以疝頸為中心行冠狀位重建,記錄疝頸、疝囊及疝內(nèi)容物。通過(guò)χ2檢驗(yàn)比較冠狀位與軸位顯示病變的差異。結(jié)果 15例閉孔疝,單側(cè)12例,雙側(cè)3例;右側(cè)12,左側(cè)6。疝囊:含氣體(軸位1側(cè),5.56%;冠狀位4側(cè),22.22%)、含脂肪(軸位3側(cè),16.67%;冠狀位7側(cè),38.89%)、含軟組織(軸位13側(cè),72.22%;冠狀位13側(cè),72.22%)。疝頸:啞鈴征(軸位1側(cè),5.56%;冠狀位8側(cè),44.44%)、鳥(niǎo)嘴征(軸位1側(cè),5.56%;冠狀位14側(cè),77.78%)、靶征(軸位1側(cè),5.56%;冠狀位15側(cè),83.33%)和條索征(軸位1側(cè),5.56%;冠狀位7側(cè),38.89%)。腸梗阻:腸道積氣、擴(kuò)張(軸位11例,73.33%;冠狀位11例,73.33%),腸壁增厚(軸位8例,44.44%;冠狀位11例,61.11%)。血運(yùn)改變:平掃低密度(軸位7例,46.67%;冠狀位10例,66.67)、平掃高密度(軸位1例,6.67%;冠狀位1例,6.67%)、增強(qiáng)掃描強(qiáng)化減弱(軸位2例,13.33%;冠狀位2例,13.33%)。冠狀位顯示疝頸征象與軸位比較差異有統(tǒng)計(jì)學(xué)意義(啞鈴征、鳥(niǎo)嘴征、靶征和條索征χ2和P值分別為5.33,0.21;19.31,0.000;22.05,0.000;4.02,0.045)。術(shù)后15例均治愈出院。結(jié)論閉孔疝術(shù)前MSCT檢查冠狀位重建對(duì)明確閉孔疝有重要的臨床價(jià)值。
[Abstract]:Objective to evaluate the clinical value of coronal reconstruction by MSCT before obturator hernia. Methods Fifteen patients with obturator hernia confirmed by operation and pathology were examined with MSCT before operation. Coronal reconstruction of hernia neck was performed, and the neck, sac and contents of hernia were recorded. The difference between coronal and axial lesions was compared by 蠂 2 test. Results there were 15 cases of obturator hernia, 12 cases of unilateral hernia, 3 cases of bilateral hernia, 12 cases of right side and 6 cases of left side. Hernia sac: containing gas (5. 56 on 1 side of axial position; 22. 22% on 4 sides of coronal position; fat on 3 sides of axial position; 38.89 side on 7 sides of coronal position with soft tissue (13 sides of axial position 72.22 on axial position; 72.22 on 13 sides of coronal position; on 7 sides of coronal position. Hernia neck: dumbbell sign (axial position 1 side: 5.56; coronal position 8 sides: 44.44), bird mouth sign (axial position 1 side = 5.56; coronal position 14 sides: 77.78), target sign (axial position 1 side = 5.56; coronal position 15 sides, n = 83.3333) and stripe sign (axial position 1 side = 5.56; coronal position 7 sides = 38.89m). Intestinal obstruction: intestinal air accumulation, dilatation (11 cases in axial position, 73.33 in coronal position in 11 cases, thickening of intestinal wall (8 cases in axial position and 44.44 in axis position, 11 cases in coronal position in 11 cases). The changes of blood circulation were as follows: low density in plain scan (7 cases in axial position, 46.67 in axial position, 66.67 in coronal position in 10 cases, high density in 10 cases in coronal position (1 case in axial position, 6.67 mass in 1 case), and weakening in enhancement in 1 case (2 cases in axial position, 13.33 in coronal position, in 2 cases in coronal position, in 1 case, 6.67 in axial position, in 1 case, in coronal position, in 2 cases). The cervical sign of hernia was significantly different from that of axial position in coronal position (dumbbell sign, bird beak sign, target sign and stripe sign 蠂 2 and P values were 5.33 ~ 0.21 ~ 19.31 ~ 0.000 ~ 22.05 ~ 0.000 ~ 4.02 ~ 0.045 ~ 2 ~ 2 and P respectively). All 15 cases were cured and discharged. Conclusion Coronal reconstruction by MSCT before obturator hernia has important clinical value in identifying obturator hernia.
【作者單位】： 暨南大學(xué)附屬清遠(yuǎn)醫(yī)院;廣東清遠(yuǎn)市人民醫(yī)院影像中心;
【分類(lèi)號(hào)】：R656.2;R816

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本文編號(hào)：1896210