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腹壁腰椎疝的多层螺旋CT:解剖学回顾、病理表现及鉴别诊断

MDCT of abdominal wall lumbar hernias: anatomical review, pathologic findings and differential diagnosis.

作者信息

Martín Joaquín, Mellado José María, Solanas Susana, Yanguas Nerea, Salceda Javier, Cozcolluela María Rosa

机构信息

Department of Radiology, Hospital Reina Sofía, Ctra Tarazona km 3, Tudela, Navarra, Spain.

出版信息

Surg Radiol Anat. 2012 Jul;34(5):455-63. doi: 10.1007/s00276-012-0937-8. Epub 2012 Feb 4.

DOI:10.1007/s00276-012-0937-8
PMID:22307689
Abstract

PURPOSE

To review the anatomical landmarks of the abdominal wall lumbar region and its normal appearance on multidetector computed tomography (MDCT) and to briefly describe the MDCT features of lumbar hernias.

METHODS

We performed a retrospective search of the imaging report database from November 2007 to October 2011. We retrieved the clinical data and MDCT studies of patients suffering from abdominal wall lumbar hernias. We reviewed the imaging features of abdominal lumbar hernias and compared those with the normal appearance of the lumbar region in asymptomatic individuals.

RESULTS

We classified lumbar wall hernias as diffuse, superior (or Grynfelt-Lesshaft) and inferior (or Petit) lumbar hernias. We briefly describe the imaging features of each subtype and review the anatomy and MDCT appearance of normal lumbar region.

CONCLUSIONS

Currently available MDCT provides an excellent opportunity for reviewing the normal anatomy of the wall lumbar region and may be considered a useful modality for evaluating lumbar hernias.

摘要

目的

回顾腹壁腰部区域的解剖标志及其在多排螺旋计算机断层扫描(MDCT)上的正常表现,并简要描述腰椎疝的MDCT特征。

方法

我们对2007年11月至2011年10月的影像报告数据库进行了回顾性检索。我们检索了腹壁腰椎疝患者的临床资料和MDCT研究。我们回顾了腹部腰椎疝的影像特征,并将其与无症状个体腰椎区域的正常表现进行了比较。

结果

我们将腰椎壁疝分为弥漫性、上(或格伦费尔特-莱沙夫特)和下(或佩蒂)腰椎疝。我们简要描述了每种亚型的影像特征,并回顾了正常腰椎区域的解剖结构和MDCT表现。

结论

目前可用的MDCT为回顾腰部区域的正常解剖结构提供了绝佳机会,可被视为评估腰椎疝的有用检查方法。

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Management Criteria of Grynfeltt's Lumbar Hernia: A Case Report and Review of Literature.格伦费尔特氏腰疝的管理标准:一例报告及文献综述

本文引用的文献

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Anesth Analg. 2009 Sep;109(3):981-5. doi: 10.1213/ane.0b013e3181ae0989.
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Laparoscopic hernia repair following iliac crest harvest.髂嵴取骨后腹腔镜疝修补术。
Hernia. 2010 Feb;14(1):93-6. doi: 10.1007/s10029-009-0499-9. Epub 2009 Apr 15.
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Lumbar hernia: anatomical basis and clinical aspects.腰疝:解剖学基础与临床方面
Cureus. 2019 Jan 10;11(1):e3865. doi: 10.7759/cureus.3865.
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Pitfalls and clinical recommendations for the primary lumbar hernia based on a systematic review of the literature.基于文献系统回顾的原发性腰椎疝的陷阱和临床建议。
Hernia. 2019 Feb;23(1):107-117. doi: 10.1007/s10029-018-1834-9. Epub 2018 Oct 12.
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Arch Surg. 2007 Jan;142(1):82-8. doi: 10.1001/archsurg.142.1.82.
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Abdominal wall hernias: imaging features, complications, and diagnostic pitfalls at multi-detector row CT.腹壁疝:多排探测器CT的影像特征、并发症及诊断陷阱
Radiographics. 2005 Nov-Dec;25(6):1501-20. doi: 10.1148/rg.256055018.
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Abdominal wall hernias: MDCT findings.腹壁疝:多层螺旋CT表现
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