欢迎访问《岭南现代临床外科》官方网站,今天是

岭南现代临床外科 ›› 2012, Vol. 12 ›› Issue (04): 335-337.

• 临床研究 • 上一篇    下一篇

肠腔内异物所致机械性小肠梗阻的CT诊断

程佑,何永松   

  1. 佛山市顺德区均安医院
  • 通讯作者: 程佑

Diagnostic value of CT in mechanical small-bowel obstruction caused by intraluminal foreign bodies.

  • Received:2012-03-22 Revised:2012-05-21 Online:2012-08-20 Published:2012-08-20

摘要: 【摘要】 目的 探讨CT对肠腔内异物所致机械性小肠梗阻诊断的价值。 资料与方法 回顾性分析8例经手术证实的肠腔内异物所致机械性小肠梗阻的CT表现。 结果 8例患者均有程度不等的肠梗阻,术前均能正确诊断肠梗阻。其中,小肠食入性异物小肠梗阻3例,粪石性小肠梗阻 3例,胆石性小肠梗阻 2例,均无肠缺血坏死、穿孔等并发症。 结论 通过典型的征象分析,CT能术前诊断肠腔内异物所致机械性小肠梗阻。

关键词: 【关键词】小肠梗阻, 异物, 体层摄影术, X线计算机

Abstract: [Abstract] Objective To evaluate the value of CT in diagnosis of rare mechanical small-bowel obstruction (SBO) caused by intraluminal foreign bodies. Methods The CT imaging features of 8 patients with mechanical SBOs caused by intraluminal foreign bodies were reviewed retrospectively. Results The presence of mechanical SBOs in 7 cases were diagnosed by CT imaging before operation, including the ingested foreign bodies in 3 cases, bezoars in 2 cases and gallstones in 2 cases. Another one was misdiagnosed the bezoars as tumor. All cases were confirmed by open abdomen operation. SBO-related complications such as ischemia and perforation were not found in all patients. Conclusion CT examination are effective for diagnosis of mechanical small-bowel obstruction (SBO) caused by intraluminal foreign bodies by the typical CT signs.

Key words: Small-bowel obstruction, Foreign bodies, Tomography, X-ray computed