MSCT及后处理技术在腹外疝合并肠梗阻诊断中的应用价值
The Value of MSCT and Post-processing Techniques in the Diagnosis of Abdominal External Hernia and Intestinal Obstruction
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摘要: 目的:探讨MSCT及后处理技术对腹外疝合并肠梗阻的诊断价值。方法:回顾性分析21例经手术证实腹外疝合并肠梗阻患者的MSCT资料。全部病例行全腹部MSCT检查,其中19例平扫,2例增强扫描。薄层横断面图像传至工作站行多平面重组成像(MPR)和曲面重组成像(CPR)等图像后处理。结果:21例腹外疝合并肠梗阻患者经MSCT检查诊断明确,MSCT薄层横断面图像结合后处理技术显示腹外疝21例,其中腹股沟斜疝8例,腹股沟直疝5例,切口疝4例,股疝2例,闭孔疝2例;其中13例为不完全性肠梗阻,8例为完全性肠梗阻。结论:MSCT及后处理技术在腹外疝合并肠梗阻的诊断中具有重要价值,为临床手术方案的制定提供准确可靠的影像学信息。Abstract: Objective:to assess the value of MSCT and post-processing techniques in the diagnosis of abdominal external hernia and intestinal obstruction.Methods:CT features of 21 cases with abdominal external hernia and intestinal obstruction confirmed by surgery were retrospectively analyzed.19 cases underwent abdominal plain and two contrast scans.MPR and CPR post-processing techniques were performed in all patients.Result:21 cases abdominal external hernia and intestinal obstruction were confirmed,of which 8 cases with oblique inguinal hernia,5 cases with direct inguinal hernia,4 cases with incisional hernia,2 cases with Cloguet's hernia,2 cases with obturator hernia;13 cases with incomplete intestinal obstruction,8 cases with complete intestinal obstruction.Conclusion:MSCT and post-processing technique is valuable for diagnosing abdominal external hernia and intestinal obstruction,which can provide accurate and reliable information for the surgical plan.
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