摘要
目的探讨螺旋CT对术后肠扭转的诊断价值。方法对12例术后突然发生剧烈腹痛患者行急诊螺旋CT检查和手术证实为肠扭转的资料进行回顾性分析。结果 12例患者均在CT下确诊为小肠扭转,主要征象有肠管的"漩涡征"(4例)、"葡萄串"状征象(7例)、"缆绳征"(1例),葡萄串状征象中伴"同心圆"或"漩涡状"征象(1例),"缆绳征"征象中可见类似"漩涡状"征象(1例),腹腔积腋(10例)。结论螺旋CT检查对肠扭转的早期诊断及指导临床治疗具有重要价值。
Objective To assess the clinical value of spiral computed tomography in the diagnosis of postoperative volvulus. Methods The clinical data of 12 patients with sudden severe abdominal pain and volvulus postoperation confirmed by spiral computed tomography and emergeney operation were analyzed retrospectively. Results The 12 patients were finally diagnosed as having small intestinal volwdus. Principal manifestations included whirl sign （4 patients ）, grape bunche sign （7）, stranding sign （ 1 ）, grape bunche sign accompanied by concentric circles or whirl sign （ 1 ） , and pyocelia （10）. Conclusion Spiral computed tomography is of great valne in early diagnosis and treatment of postoperative volvulus.
出处
《中华普外科手术学杂志（电子版）》
2013年第1期57-59,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
肠扭转
术后并发症
体层摄影术
螺旋计算机
Postoperative complications
Intestinal volvulus
Tomography, spiral computed
