超声诊断非肿瘤性肠梗阻205例病因分析

黄梅; 王光霞

中国临床医学影像杂志 ›› 2011, Vol. 22 ›› Issue (3) : 174-177.

论著

超声诊断非肿瘤性肠梗阻205例病因分析

黄梅1，王光霞2

作者信息 +

Ultrasonography in the diagnosis and analysis of 205 cases non-tumor intestinal obstruction

HUANG Mei1, WANG Guang-xia2

Author information +

文章历史 +

摘要

目的：应用彩色多普勒超声诊断不同病因的非肿瘤性肠梗阻，探讨其诊断意义和价值，并总结其声像图特征。方法：回顾性分析205例经手术证实的非肿瘤性肠梗阻的腹部超声检查结果，包括小肠管径、肠壁的厚度、病变范围、肠壁回声、肠蠕动状况、肠壁和肠系膜血供等。结果：205例中超声诊断确定肠梗阻病因180例，病因诊断符合率87.8%（180/205）；漏/误诊率12.2%（25/205），全部病例经手术证实。结论：腹部超声检查诊断非肿瘤性肠梗阻及其病因准确可靠，为临床医生提供客观的影像学依据，可作为非肿瘤性肠梗阻的常规检查方法。

Abstract

Objective: To investigate the value of color Doppler ultrasonography in the diagnosis of intestinal obstruction result from different non-tumor causes and summarize the features of those ultrasonograms. Methods: To analyze retrospectively the abdominal ultrasonography results of 205 cases of non-tumor intestinal obstruction which were later confirmed by surgery, which included the diameter of intestine pipes, the thickness of intestinal walls, the echo of intestinal walls, the scope of lesion, the intestinal peristalsis, the blood supply of intestinal walls and mesentery etc. Results: To diagnose accurately the causes of non-tumor intestinal obstruction 180 cases among 205 cases by ultrasonography, diagnose accordance rate 87.8%(180/205); missed diagnose and misdiagnose rate 12.2%(25/205); all cases were later confirmed by surgery. Conclusions: Abdominal ultrasonography is accurate and dependable to diagnose non-tumor intestinal obstruction and those causes because it can provide objective imageology evidences for clinician, so it can serve as a routine examination for non-tumor intestinal obstruction.

导出引用

黄梅;王光霞. 超声诊断非肿瘤性肠梗阻205例病因分析[J]. 中国临床医学影像杂志. 2011, 22(3): 174-177

HUANG Mei;WANG Guang-xia. Ultrasonography in the diagnosis and analysis of 205 cases non-tumor intestinal obstruction[J]. Journal of China Clinic Medical Imaging. 2011, 22(3): 174-177

中图分类号： Ｒ574.2 Ｒ445.1