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超声分类在粘连性肠梗阻患者疾病判断及治疗方案制定中的价值分析

Value analysis of ultrasound classification in disease judgment and treatment plan formulation of patients with adhesive intestinal obstruction.

作者信息

Wang Fang, Liu Cui, Wang Hua

机构信息

Department of Ultrasound Medicine, Taihe Hospital Affiliated to Hubei Medical College, Shiyan 442000, Hubei Province, China.

Clinical Skills Teaching and Training Center, Hubei Medical University, Shiyan 442000, Hubei Province, China.

出版信息

World J Gastrointest Surg. 2025 Jul 27;17(7):104777. doi: 10.4240/wjgs.v17.i7.104777.

Abstract

BACKGROUND

Ultrasound classification can be used to determine the severity of adhesive intestinal obstruction and to guide the formulation of treatment plans.

AIM

To explore the value of ultrasound classification in disease judgment and treatment plan formulation for patients with adhesive intestinal obstruction.

METHODS

The medical records of 120 patients with adhesive intestinal obstruction presenting at Taihe Hospital Affiliated with Hubei Medical College were retrospectively analyzed from January 2022 to January 2024 according to the severity of ultrasound images, divided into simple (mild), complex (moderate), and critical (severe), analyzing the imaging characteristics of patients with different ultrasound classifications, and developing the corresponding treatment plan according to the ultrasound typing results, that is, conservative treatment and surgical treatment, contrast the ultrasound signs of patients in the conservative surgical treatment groups, and the value of ultrasound classification in the treatment of adhesive ileus.

RESULTS

Among the 120 patients, > 0.05, compared with the general data (sex, age, body quality index, time to onset, and history of onset), the proportion of bowel distension and abdominal effusion ( > 0.05), and the proportion of adhesion mass and cross-cross in the conservative treatment group, < 0.05.

CONCLUSION

Ultrasound typing can aid in the clinical evaluation of the severity of adhesive intestinal obstruction and provide an imaging reference for clinicians to develop targeted treatment plans.

摘要

背景

超声分级可用于判断粘连性肠梗阻的严重程度,并指导治疗方案的制定。

目的

探讨超声分级在粘连性肠梗阻患者疾病判断及治疗方案制定中的价值。

方法

回顾性分析2022年1月至2024年1月在湖北医药学院附属太和医院就诊的120例粘连性肠梗阻患者的病历资料,根据超声图像严重程度分为单纯型(轻度)、复杂型(中度)和重症型(重度),分析不同超声分级患者的影像学特征,并根据超声分型结果制定相应的治疗方案,即保守治疗和手术治疗,对比保守治疗组和手术治疗组患者的超声征象,以及超声分级在粘连性肠梗阻治疗中的价值。

结果

120例患者中,……>0.05,与一般资料(性别、年龄、体质指数、发病时间、发病史)相比,肠扩张和腹腔积液比例(>0.05),保守治疗组粘连团块和交叉比例,<0.05。

结论

超声分型有助于临床评估粘连性肠梗阻的严重程度,为临床医生制定针对性治疗方案提供影像学参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c603/12305236/7bfbaa2bdcfa/wjgs-17-7-104777-g001.jpg

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