胃肠道结石患者的X线与CT表现对照分析

目的通过分析胃肠道结石患者的X线与CT表现,探讨X线及CT在胃肠道结石的诊断及鉴别诊断中的价值。方法回顾我院21例经临床、手术及病理证实的胃肠道结石患者病例,对其X线和CT片表现进行对比分析。结果结石在胃内的患者通过X线钡餐检查能够明确诊断;结石进入肠道造成完全或者不完全性梗阻,应与肠道肿瘤鉴别,通过X线钡餐及CT检查能够明确诊断。结论胃肠道X线钡餐检查为非完全性梗阻胃肠道结石患者首选检查方法;CT可作为胃肠道结石患者的重要辅助诊断方法,在胃肠道结石患者的鉴别诊断中也有重要价值。

胃肠道结石9例诊治体会

目的探讨胃肠道结石的临床表现及治疗方法,分析其成因。方法通过对9例胃肠道结石患者的临床资料进行分析总结,探讨其临床特点,并对其治疗方法进行介绍分析,结合文献资料探讨胃肠道结石的成因。结果胃肠道结石患者均有腹痛,多伴腹胀、恶心呕吐、反酸、呃逆,还可伴有黑便或停止排气排便等胃肠道梗阻或消化道穿孔的临床表现。可以使用多种治疗方法而治愈。结论胃肠道结石较少见,它所致的肠梗阻或消化道穿孔更为少见。它因缺乏特异性临床表现,易造成误诊误治,多有进食生柿子、枣等果品史,可经非手术及手术疗法治愈,预后良好。

胃肠道结石的诊治体会

目的探讨胃肠道结石的病因,诊断,常见发生部位及治疗。方法回顾性分析住院治疗的42例胃肠道结石的临床资料。结果(1)胃肠道结石常见于胃和回肠末端,全组胃和十二指肠结石13例(2例手术,4例行胃镜下取石,7例非手术治疗),肠结石并肠梗阻29例(10例手术治疗,19例非手术治疗)。(2)行CT检查者16例,其中有12例(75.0%)发现结石;行胃镜检查者12例,均发现结石。(3)手术治疗12例,其中单发结石6例,多发结石6例,胃镜下取石4例;非手术治疗26例。42例均治愈。结论CT和内镜检查可提高胃肠道结石诊断率。治疗宜采取综合治疗,包括手术治疗、胃镜下取石、非手术治疗以及肠梗阻导管治疗。

Jejunal diverticulosis is not always a silent spectator:A report of 4 cases and review of the literature

Jejunal diverticulosis (JD) is a rare clinical entity. The potential complications of this condition are discussed here through a series of cases presented to our centre. A retrospective analysis of four cases, which were diagnosed and treated, was performed. These included two cases of gastrointestinal haemorrhage, one case of perforation and one case of enterolith obstruction. All of these cases were secondary to jejunal diverticulosis and treated surgically. This was accompanied by a literature search to identify the different modalities for diagnosis and treatment of this condition. JD is rare and may lead to a diagnostic delay. Awareness of the wide spectrum of potential complications can prevent this delay.