MSCT及后处理技术在腹外疝合并肠梗阻诊断中的应用价值

目的：探讨MSCT及后处理技术对腹外疝合并肠梗阻的诊断价值。方法：回顾性分析21例经手术证实腹外疝合并肠梗阻患者的MSCT资料。全部病例行全腹部MSCT检查，其中19例平扫，2例增强扫描。薄层横断面图像传至工作站行多平面重组成像（MPR）和曲面重组成像（CPR）等图像后处理。结果：2l例腹外疝合并肠梗阻患者经MSCT检查诊断明确，MSCT薄层横断面图像结合后处理技术显示腹外疝2l例，其中腹股沟斜疝8例，腹股沟直疝5例，切口疝4例，股疝2例，闭孔疝2例；其中13例为不完全性肠梗阻，8例为完全性肠梗阻。结论：MSCT及后处理技术在腹外疝合并肠梗阻的诊断中具有重要价值，为临床手术方案的制定提供准确可靠的影像学信息。

The Value of MSCT and Post-processing Techniques in the Diagnosis of Abdominal External Hernia and Intestinal Obstruction

Objective： to assess the value of MSCT and post-processing techniques in the diagnosis of abdominal external hernia and intestinal obstruction. Methods： CT features of 21 cases with abdominal external hernia and intestinal obstruction confirmed by surgery were retrospectively analyzed. 19 cases underwent abdominal plain and two contrast scans. MPR and CPR post-processing techniques were performed in all patients. Result： 21 cases abdominal external hernia and intestinal obstruction were confirmed, of which 8 cases with oblique inguinal hernia, 5 cases with direct inguinal hernia, 4 cases with incisional hernia, 2 cases with Cloguet＇s hernia, 2 cases with obturator hernia; 13 cases with incomplete intestinal obstruction, 8 cases with complete intestinal obstruction. Conclusion： MSCT and post-processing technique is valuable for diagnosing abdominal external hernia and intestinal obstruction, which can provide accurate and reliable information for the surgical plan.