闭孔疝术前MSCT检查冠状位重建的临床价值

发布时间：2018-05-16 08:50

本文选题：闭孔疝 + 体层摄影术　；参考：《临床放射学杂志》2015年10期

【摘要】：目的探讨闭孔疝术前MSCT检查冠状位重建的临床价值。方法回顾性研究经手术病理确诊的闭孔疝患者15例,术前均行MSCT检查,其中5例行增强扫描。以疝颈为中心行冠状位重建,记录疝颈、疝囊及疝内容物。通过χ2检验比较冠状位与轴位显示病变的差异。结果 15例闭孔疝,单侧12例,双侧3例;右侧12,左侧6。疝囊:含气体(轴位1侧,5.56%;冠状位4侧,22.22%)、含脂肪(轴位3侧,16.67%;冠状位7侧,38.89%)、含软组织(轴位13侧,72.22%;冠状位13侧,72.22%)。疝颈:哑铃征(轴位1侧,5.56%;冠状位8侧,44.44%)、鸟嘴征(轴位1侧,5.56%;冠状位14侧,77.78%)、靶征(轴位1侧,5.56%;冠状位15侧,83.33%)和条索征(轴位1侧,5.56%;冠状位7侧,38.89%)。肠梗阻:肠道积气、扩张(轴位11例,73.33%;冠状位11例,73.33%),肠壁增厚(轴位8例,44.44%;冠状位11例,61.11%)。血运改变:平扫低密度(轴位7例,46.67%;冠状位10例,66.67)、平扫高密度(轴位1例,6.67%;冠状位1例,6.67%)、增强扫描强化减弱(轴位2例,13.33%;冠状位2例,13.33%)。冠状位显示疝颈征象与轴位比较差异有统计学意义(哑铃征、鸟嘴征、靶征和条索征χ2和P值分别为5.33,0.21;19.31,0.000;22.05,0.000;4.02,0.045)。术后15例均治愈出院。结论闭孔疝术前MSCT检查冠状位重建对明确闭孔疝有重要的临床价值。
[Abstract]:Objective to evaluate the clinical value of coronal reconstruction by MSCT before obturator hernia. Methods Fifteen patients with obturator hernia confirmed by operation and pathology were examined with MSCT before operation. Coronal reconstruction of hernia neck was performed, and the neck, sac and contents of hernia were recorded. The difference between coronal and axial lesions was compared by 蠂 2 test. Results there were 15 cases of obturator hernia, 12 cases of unilateral hernia, 3 cases of bilateral hernia, 12 cases of right side and 6 cases of left side. Hernia sac: containing gas (5. 56 on 1 side of axial position; 22. 22% on 4 sides of coronal position; fat on 3 sides of axial position; 38.89 side on 7 sides of coronal position with soft tissue (13 sides of axial position 72.22 on axial position; 72.22 on 13 sides of coronal position; on 7 sides of coronal position. Hernia neck: dumbbell sign (axial position 1 side: 5.56; coronal position 8 sides: 44.44), bird mouth sign (axial position 1 side = 5.56; coronal position 14 sides: 77.78), target sign (axial position 1 side = 5.56; coronal position 15 sides, n = 83.3333) and stripe sign (axial position 1 side = 5.56; coronal position 7 sides = 38.89m). Intestinal obstruction: intestinal air accumulation, dilatation (11 cases in axial position, 73.33 in coronal position in 11 cases, thickening of intestinal wall (8 cases in axial position and 44.44 in axis position, 11 cases in coronal position in 11 cases). The changes of blood circulation were as follows: low density in plain scan (7 cases in axial position, 46.67 in axial position, 66.67 in coronal position in 10 cases, high density in 10 cases in coronal position (1 case in axial position, 6.67 mass in 1 case), and weakening in enhancement in 1 case (2 cases in axial position, 13.33 in coronal position, in 2 cases in coronal position, in 1 case, 6.67 in axial position, in 1 case, in coronal position, in 2 cases). The cervical sign of hernia was significantly different from that of axial position in coronal position (dumbbell sign, bird beak sign, target sign and stripe sign 蠂 2 and P values were 5.33 ~ 0.21 ~ 19.31 ~ 0.000 ~ 22.05 ~ 0.000 ~ 4.02 ~ 0.045 ~ 2 ~ 2 and P respectively). All 15 cases were cured and discharged. Conclusion Coronal reconstruction by MSCT before obturator hernia has important clinical value in identifying obturator hernia.
【作者单位】：暨南大学附属清远医院;广东清远市人民医院影像中心;
【分类号】：R656.2;R816

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