目的:探讨螺旋CT对腹壁疝的诊断价值和临床意义。方法: 收集被手术证实的腹壁疝86例,术前均进行螺旋CT检查。观察腹壁疝的部位、数目、疝囊大小、疝内容物及并发症。结果: 86例腹壁疝中,腹股沟斜疝38例(双侧7例),腹股沟直疝8例,腹壁切口疝19例,造瘘口疝6例,闭孔疝3例,脐疝8例,白线疝2例,双侧腹股沟斜疝伴右下腹壁切口疝1例,双测腹股沟斜疝伴左下腹壁造瘘口疝1例。疝囊直径在5cm以下者45例, 6~10cm者38例, 10cm以上者3例,腹壁疝伴小肠不全梗阻者21例,切口疝伴感染1例。螺旋CT可以显示腹壁疝的种类、数目、疝囊大小、疝内容物类型及存在的并发症.结论: 螺旋CT是腹壁疝的一种非常有效的检查方法,可以为外科综合评价患者病情及进行有效手术治疗提供重要依据。
Citation：
YUAN Zhentuan,DENG Kaihong,YU Jianqun,et al.. Evaluation of Hernias of Abdominal Wall with Multislice CT. West China Medical Journal, 2009, 24(9): 2378-2380. doi:
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 高兴汉,唐平,王小仁,等. 腹壁疝的多层螺旋CT评价[J].上海医学影像,2008,17(2):118-119..
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- 3. FUERXER F, BRUNNER P, CUCCHI J M, et al. Inguinal herniation of a bladder diverticulum[J]. Clinical Imaging,2006,30:354-356..
- 4. 李文华,曹庆选,杨世锋,等. 绞窄性肠梗阻系膜及其血管改变的CT研究[J].中华放射学杂志,2006,40(1):81-85..
- 5. DIEGO A A, AGNES C S, GIOVANNA C, et al. Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi detector row CT[J]. RadioGraphics,2005,25:15021520..
- 6. KNYHUS L M. Individualization of hernia repair:a new era[J]. Surgery,1993,114:65..
