16-Slice CT Diagnostic Value in Adult Nontraumatic Abdominal Wall Hernia
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摘要: 目的:探讨成人非创伤性腹壁疝的16层螺旋CT诊断价值。方法:回顾性分析手术或临床随访证实的37例成人非创伤性腹壁疝16层螺旋CT资料。结果:腹壁切口疝13例,股沟斜疝10例,腰疝4例,半月线疝3例,壁造瘘口疝3例,白线疝2例,脐疝2例。疝囊直径小于5cm者23例,6~10cm者11例,大于10cm者3例。疝内容可为大网膜、肠管甚至邻近的器官。结论:多层CT及后处理是非创伤性腹壁疝较佳的诊断方法,可为进一步手术治疗提供可靠依据。Abstract: Objective: To investigate 16 layer spiral CT diagnosis value in adult non traumatic abdominal wall hernia.Methods: A retrospective analysis of 37 cases data of adult non traumatic abdominal wall hernia confirmed by operation or clinical follow-up with 16 slice spiral CT.Results: Abdominal wall incisional hernia in 13 cases,inguinal indirect hernia in 10 cases,lumbar hernia in 4 cases,spigelian hernia in 3 cases,abdominal wall stoma hernia in 3 cases,white line hernia in 2 cases,umbilical hernia in 2 cases.Hernia sac diameter less than 5cm in 23 cases,6~10cm in 11 cases,greater than 10cm in 3 cases.The hernial contents are the greater omentum,bowel and adjacent organs.Conclusion: It is a better diagnosis method with multi-layer CT and post-processing for non traumatic abdominal wall hernia,which could provide a reliable basis for further treatment.
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