摘要
目的评价腹壁疝的多层螺旋CT(MSCT)诊断价值。方法收集182例临床拟诊腹壁疝的患者,经MSCT扫描和多方位重建(MPR),观察和测量疝囊、疝颈及疝内容,并与手术所见对照。结果本组诊断腹壁切口疝143例,自发性白线疝2例,脐疝3例,腹股沟直疝和斜疝12例,腹壁造瘘口疝8例,外伤性腹壁疝14例。疝囊直径小于5cm者86例,在6～10cm者74例,大于10cm者22例。疝内容依据疝颈的部位和大小可为大网膜、肠管甚至临近的器官。结论MSCT可敏感地探测到腹壁疝,并可精确测量疝颈大小,为外科手术修补提供可靠依据。
Purpose To evaluate the hernias of abdominal wall with muhislice computed tomography （MSCT）. Methods The hernias of abdominal wall of 182 cases suspected by surgeons were all undergone the CT examination with the Siemens sensation 16 slices scanner and the multi-planar reconstructions（MPR）, Results In 182 cases ,there were the hernia of operative incision （n=143）,the hernia of lineal alba（n=2）, the umbilical hernia （n=3）,the inguinal hernia （n=12）, the hernia of medical opening of abdominal wall（n=8）, and the traumatic hernia of abdominal wall （n=14）.The diameters of the hernial opening of abdominal wall were below 5cm （n=86）,among 6-10cm （n=74）,and above 10cm（n=22） respectively. Conclusion MSCT can play an important role in the diagnosis of the abdominal hernias.
出处
《上海医学影像》
2008年第2期118-119,共2页
Shanghai Medical Imaging
关键词
腹壁疝
多层螺旋CT
多平面重建
Abdominal hernias
Multi-slice computed tomography
Multi-planar reconstruction
