中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2008年
3期
315-317
,共3页
结肠镜检查%体层摄影术,螺旋计算机%肠梗阻/诊断/治疗
結腸鏡檢查%體層攝影術,螺鏇計算機%腸梗阻/診斷/治療
결장경검사%체층섭영술,라선계산궤%장경조/진단/치료
Colonoscopy%Tomography,spiral computed%Intestinal obstruction/DI/TH
目的 探讨结肠镜、MSCT和MRI在肠梗阻诊断中价值.方法 回顾性分析140例经腹部平片、手术证实肠梗阻病人的结肠镜、MSCT资料并复习有关肠梗阻MRI诊断文献.结果 140例肠梗阻:结肠梗阻60例,小肠梗阻73例,未明确7例.结肠镜检查67例:其中结肠肿瘤41例;结肠息肉6例;结肠套叠6例;乙状结肠扭转2例;回肠末段肿瘤2例;未见异常10例.MSCT检查80例:其中小肠粪块24例;粪石2例;肠腔外淋巴瘤4例;肠系膜血栓形成1例;小肠肿瘤26例,原因未明23例.治疗情况:保守治疗30例,结肠镜下乙状结肠扭转复位2例;肠套叠空气灌肠复位3例;内镜下结肠息肉高频电切除术6例;手术治疗99例.死亡5例;康复135例.结论 结肠镜、MSCT和MRI检查能较为准确诊断肠梗阻病因及其梗阻部位,为临床制订治疗方案提供重要依据.
目的 探討結腸鏡、MSCT和MRI在腸梗阻診斷中價值.方法 迴顧性分析140例經腹部平片、手術證實腸梗阻病人的結腸鏡、MSCT資料併複習有關腸梗阻MRI診斷文獻.結果 140例腸梗阻:結腸梗阻60例,小腸梗阻73例,未明確7例.結腸鏡檢查67例:其中結腸腫瘤41例;結腸息肉6例;結腸套疊6例;乙狀結腸扭轉2例;迴腸末段腫瘤2例;未見異常10例.MSCT檢查80例:其中小腸糞塊24例;糞石2例;腸腔外淋巴瘤4例;腸繫膜血栓形成1例;小腸腫瘤26例,原因未明23例.治療情況:保守治療30例,結腸鏡下乙狀結腸扭轉複位2例;腸套疊空氣灌腸複位3例;內鏡下結腸息肉高頻電切除術6例;手術治療99例.死亡5例;康複135例.結論 結腸鏡、MSCT和MRI檢查能較為準確診斷腸梗阻病因及其梗阻部位,為臨床製訂治療方案提供重要依據.
목적 탐토결장경、MSCT화MRI재장경조진단중개치.방법 회고성분석140례경복부평편、수술증실장경조병인적결장경、MSCT자료병복습유관장경조MRI진단문헌.결과 140례장경조:결장경조60례,소장경조73례,미명학7례.결장경검사67례:기중결장종류41례;결장식육6례;결장투첩6례;을상결장뉴전2례;회장말단종류2례;미견이상10례.MSCT검사80례:기중소장분괴24례;분석2례;장강외림파류4례;장계막혈전형성1례;소장종류26례,원인미명23례.치료정황:보수치료30례,결장경하을상결장뉴전복위2례;장투첩공기관장복위3례;내경하결장식육고빈전절제술6례;수술치료99례.사망5례;강복135례.결론 결장경、MSCT화MRI검사능교위준학진단장경조병인급기경조부위,위림상제정치료방안제공중요의거.
Objective To explore the value of electronic colonoscope,MSCT and MRI in the etiological diagnosis of intestinal obstruction.Methods The clinical data of 140 ileus patients were retrospectively studied.Results 140 cases of ileus included 60 cases of colon ileus,70 cases of small intestines ileus and 7 indefinite cases.67 cases were checked with colonoscopy,among them,41 cases with colon tumors,6 cases with colon polypi,6 cases with colon set folds,2 cases with sigmoid colon turned round,2 cases with ileum tumor and 10 cases with unknown reason.80 cases were checked by MSCT checks,among them,26 cases with small intestines tumor 24 cases with small intestines muck piece,23 cases with unknown reasons,2 cases with muck stone 2,4 cases with bowel chamber outside lymphoid lump,1 case with bowel fastens film blood to bolt.30 cases were kept to cure.2 cases were turn round to reset under the eolonoscopy,3 cases were set folds air to infuse bowel to reset,6 cases with inside the mirror descend colon polyp were resected with hish frequency electricity resection.99 cases were cured by surgical operation.5 cases were dead and 135 cases were recovered from illness.Conclusion Electronic colonoscopy,MSCT and MRI checking are accurate methods to diagnose why and where of ileus,and which establish importance basts for clinical treatment.
