超声对剖宫产术后腹内疝并发肠梗阻的诊断价值

The value of the ultrasonic in diagnosis in internal hernias resulted from cesarean section and resulted in intestinal obstruction

目的:探讨超声对剖宫产术后腹内疝并发肠梗阻的超声声像图表现。方法:回顾性分析8例经手术证实为剖宫产术后腹内疝并肠梗阻患者,临床均有不同程度突然下腹剧烈疼痛、腹胀、呕吐。超声主要了解腹部肠管有无扩张以及扩张肠管部位,肠蠕动状况,并追踪有无受挤压而突然变窄无法通过的肠段,然后对疑为绞窄肠管用能量多普勒探测肠壁血流灌注状况,以便评价绞窄肠管生机。结果:8例超声均提示肠梗阻及扩张肠管占据腹腔相同位置,与术中所见病变区部位一致。6例肠管局部有坏死行部分肠管切除,2例复位后系膜动脉搏动良好。结论:超声对剖宫产术后腹内疝并肠梗阻声像图表现具有一定特异性,能为临床诊断提供更多有价值的依据,从而为手术赢得宝贵时机。

Objective To explore the ultrasound abdominal hernia intestinal obstruction after cesarean sonographic manifestations.Method retrospective analysis of 8 cases confirmed by surgery as internal hernias patients resulted from c-section and resulted in intestinal obstruction,which clinical manifestation include some suddenly abdominal pain,some abdominal distention,somewhat vomiting and so on.The aim through ultrasonic examination mainly learn belly bowel loops without blind area expansion and expansion,bowel movements,and track any sudden narrowing by squeezing through the intestinal segments,then for suspected of strangulation bowel with energy doppler detection of unofficial perfusion status,so that the evaluation of strangulation bowel to life.Results All of 8 cases of ultrasound clew bowel obstruction and expansion abdominal same position,in accordance with the lesions seen in the art area.6 cases of bowel local line with necrotic bowel resection,2 cases of mesangial pulses are good after reset.Conclusion Ultrasonographic performance of internal hernias resulted from cesarean section and resulted in intestinal obstruction has certain variety,can offer more valuable something for clinical diagnosis,thus save precious time for surgery.