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隐匿性切口疝的CT诊断

CT diagnosis of occult incisional hernias.

作者信息

Ghahremani G G, Jimenez M A, Rosenfeld M, Rochester D

出版信息

AJR Am J Roentgenol. 1987 Jan;148(1):139-42. doi: 10.2214/ajr.148.1.139.

DOI:10.2214/ajr.148.1.139
PMID:3491503
Abstract

CT of the abdomen was performed on 14 adult patients 2-25 months after laparotomy in order to evaluate intraabdominal processes. Clinically unsuspected incisional hernias were detected in all cases. These herniations were not disclosed by previous physical examination because of the patients' obesity, abdominal pain, distension, or various other factors. However, CT scans showed the exact size, location, and content of each incisional hernia. The evaluation of postsurgical abdomen by CT should include a careful assessment of previous laparotomy sites in search of occult incisional hernias that may be the source of the patient's abdominal symptoms.

摘要

对14例成年患者在剖腹术后2至25个月进行腹部CT检查,以评估腹内情况。所有病例均检测到临床上未被怀疑的切口疝。由于患者肥胖、腹痛、腹胀或其他各种因素,这些疝在先前的体格检查中未被发现。然而,CT扫描显示了每个切口疝的确切大小、位置和内容物。通过CT对术后腹部进行评估时,应仔细评估先前的剖腹手术部位,以寻找可能是患者腹部症状来源的隐匿性切口疝。

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