超声肠系膜漩涡征临床意义的初步探讨

To explore the clinical significance of ultrasound whirlpool sign

目的探讨超声表现为肠系膜漩涡征的疾病诊断、鉴别诊断及临床意义。方法回顾性分析6例超声检查表现为肠系膜漩涡征患者的临床资料和超声表现。结果 6例超声表现为肠系膜漩涡征的病例中2例手术证实为肠旋转不良并肠扭转,2例手术证实为腹内疝并肠扭转及肠梗阻,2例行增强CT检查后保守治疗,其中1例考虑为腹内疝,1例考虑为肠系膜扭转。结论肠系膜漩涡征往往提示腹腔内肠系膜及肠管病变存在,小儿需考虑到肠旋转不良合并肠扭转的可能,成人需结合病史考虑到腹内疝、肠系膜扭转等可能。

Objective To analyze the diagnosis, differential diagnosis and clinical significance of ultrasound whirlpool sign. Methods Clinical data and ultrasonographic findings of 6 patients with ultrasound whirlpool sign were retrospectively analyzed. Results Among the 6 cases with ultrasound whirlpool sign, 2 cases were proved to be malrotation and volvulus of intestine by operation, 2 cases were proved to be internal hernia with volvulus and intestinal obstruction by operation, and 2 cases were treated conservatively after enhanced CT examination, among which 1 case was considered as internal hernia and 1 case was considered as volvulus of mesentery. Conclusion Ultrasound whirlpool sign often indicates the presence of intraperitoneal mesenteric and intestinal diseases, and children should be considered for the possibility of malrotation with volvulus, while adults should be considered for the possibility of internal abdominal hernia and mesenteric volvulus combined with their clinical history.