[胆结石性肠梗阻的诊断与治疗]
[Diagnosis and treatment of gallstone intestinal obstruction].
作者信息
Kharitonov S V, Rannev I B, Kharitonov S S
机构信息
Pirogov Russian National Research Medical University of Healthcare Ministry of Russia, Moscow.
City Clinical Hospital #13 of Moscow Healthcare Department, Moscow, Russia.
出版信息
Khirurgiia (Mosk). 2018(5):28-32. doi: 10.17116/hirurgia2018528-32.
AIM
To analyze informative value of radiological examination in diagnosis of acute gallstone intestinal obstruction.
MATERIAL AND METHODS
Diagnosis and treatment of 7 patients with acute gallstone intestinal obstruction have been analyzed. Diagnostic protocol included radiography of abdominal cavity, sonography and computed tomography.
RESULTS
Computed tomography within the first hours after hospitalization is highly informative to diagnose gallstone intestinal obstruction if other methods are ineffective.
CONCLUSION
Inclusion of computed tomography into survey algorithm optimizes diagnostic process, clarifies the cause of acute intestinal obstruction and promptly determines the indications for video-assisted surgery.
目的
分析放射学检查在急性胆石性肠梗阻诊断中的信息价值。
材料与方法
分析7例急性胆石性肠梗阻患者的诊断与治疗情况。诊断方案包括腹腔X线摄影、超声检查和计算机断层扫描。
结果
如果其他方法无效，住院后数小时内进行的计算机断层扫描对诊断胆石性肠梗阻具有很高的信息价值。
结论
将计算机断层扫描纳入检查算法可优化诊断过程，明确急性肠梗阻的病因，并迅速确定电视辅助手术的适应证。
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