肝脾曲结肠综合征的CT影像研究

Study of CT Features of Colic Syndrome in the Hepatic and Spienic Flexares

目的:探讨肝脾曲结肠综合征形成的解剖学基础及CT诊断价值。方法:收集临床确诊或随访证实的肝脾曲结肠综合征患者48例,对其CT征象进行回顾性分析。结果:发现结肠的脾曲及肝曲扭曲或扭转,其中肝下型10例,胃上型6例,膈下型13例,胃后型19例,显示为局限性胀气扩大,邻近组织、器官受推压变形、移位。结论:通过认识不同类型的肝脾曲结肠综合征CT影像表现,使我们对膈下间隙的影像定位进一步明确,对腹膜前后腔的界定,在解剖意义上又增加了一些佐证,对相关的疾病认识及其鉴别诊断将起重要作用。

Objective To explore the anatomical base in etiology and the CT value of colic syndrome in the hepatic and spienic flexares（CSIF）. Methods 48 cases of CSIF confirmed by clinic or by follow-up,whose CT data were analyzed rwtro- spectively. Results Among all the patients,of the subhepatic type were 10 cases,of the supragastric, the subphrenic and the retrogastric type were 6、13 and 19 cases rerpectively. All colons of CSIF were found or volvulus ,and local gaseour distention. The adjacent structures or organs were compressed and shifted. Results The CT features of different tyres of CSIF Will help us better know the location of subhepatie spaces, also the location of peritoneal and retroperitoneal cavity. It will play an important role in the diagnosis and the differential diagnosis of the revalent diseases.