间位结肠综合征的超声诊断及临床意义

Ultrasound Diagnose and Clinical Significance of Chilaiditi Syndrome

目的 探讨间位结肠综合征的超声图像特征及诊断价值 ;方法 对 1万余例需作上腹部检查的患者常规进行肝与横膈间结构层次的超声波探测 ,并对其中 2 1例在肝 -横膈间发现有嵌顿结构图像的患者进行X线腹部平片或CT检查 ;结果 2 1例患者均于肝与横膈间测及片状等回声区或增强回声区 ,主要位于肝左内叶至右前叶前上方 ,并对肝表面产生弧形压迹 ,其中 15例能清晰显示肠管结构及气体回声 ,经X线腹部平片或CT检查确诊 ;另 6例显示均匀的等回声区 ,经大量饮水 (6 0 0～ 80 0ml)后 1～ 1.5h复查或隔日复查 ,腹部平片检查确诊 ;结论 间位结肠综合征具有典型的超声波声像图特征 ,超声检查能准确地作出诊断及鉴别诊断。

Objective The ultrasonogram features and diagnostic value of chilaiditi syndrome were studied. Methods Routine ultrasound was performed to monitior the structure layer between liver and diaphragm in more than ten thousand patients, and 21 of them underwent abdominal X-ray or CT because embedded segmented intestine was found. Results In all the 21 patients slice equal echoes or echo areas were detected in livers, left inner to right front lobes, on the surface of which had pressing marks. Intestine structures and gas echoes were shown clearly in 15 cases, even equal echoes in 6 cases. After drinking 600～800 ml water and waiting an hour and a half, intestine structures, gas in intestine and contents echoes were found by another ultrasonography. Abdominal X-ray or CT could confirm a definite diagnose. Conclusion Chilaiditi syndrome has the typical feature in ultrasonogram. Thus definite diagnose and differential diagnose can be made by means of ultrasonography.