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华西医学  2010 

闭孔疝的CT表现

, PP. 2195-2198

Keywords: 闭孔疝,体层摄影术,X线计算机

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Abstract:

【】 目的 探讨闭孔疝的CT表现,以提高对其疾病的诊断水平。 方法 回顾性分析2009年10月-2010年9月收治的经手术或临床资料证实的3例闭孔疝患者的CT影像学表现,观察闭孔疝发生的位置、密度、形态、强化特征及继发征象。 结果 3例闭孔疝均为老年消瘦患者,CT检查发现疝囊位于闭孔外肌与耻骨肌间疝出1例,闭孔外肌上、中束间疝出2例,所有疝出物均为肠管,表现为疝出部位囊性密度影,1例肠壁可见增厚、水肿,诊断为肠壁血运障碍,及时行手术治疗后预后良好。 结论 CT检查是闭孔疝有效的检测手段,特别是对于不明原因腹痛合并肠梗阻的老年消瘦患者,CT检查将有助于临床确诊。【Abstract】 Objective ToobservethemanifestationsofCTimagesofobturatorherniatoimprovethediagnosisofobturatorhernia. Methods TheCTimagesofthreepatientswithobturatorherniaconfirmedbysurgeryorclinicaldatafromOctober2009toSeptember2010wereretrospectivelyanalyzed.Thelocation,density,morphology,enhancementpatternsandsecondarysignswereobserved. Results Threepatientswithobturatorherniawereelderandemaciated.Theherniasaclocatedbetweenthepectineusandobturatorexternusmusclesintwopatients,betweenthesuperiorandmedialfasciculioftheobturatorexternusmuscleinonepatient.Allcontentsweresmallintestine,performedasalow-densitymassinthelocation.Onepatientwiththickandhydropicintestinalwalldiagnosedasstrangulatedobturatorherniahadagoodprognosisafterimmediatelylaparotomy. Conclusion CTexamineisaneffectivemeasureforobturatorhernia,especiallyforelderandemaciatedpatientswithintestineobstructionduetounknownreason.CTexamineishelpfulforthediagnosis.

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