Legendre G, Desbleds M, Desbleds M T, Prandi D, Nahum H
J Radiol. 1979 Jun-Jul;60(6-7):387-93.
In the light of 9 cases, the authors study the varioud radiological appearances of postoperative obstructions. These may be early, before the restoration of intestinal transit, or secondary, during the days following the restoration of transit. The authors eliminate late postoperative obstructions from this study. There are various mechanisms of postoperative obstruction: organic obstructions may be due to an adhesion but also to agglutination or incarceration of intestinal loops. Functional obstructions most often accompany a localised area of inflammation. Mixed obstructions are a special feature of the postoperative period: agglutination of loops in contact with an area of inflammation. The authors emphasize the difficulty of radiological interpretation and the frequent disagreement between radiological and surgical findings.
根据9个病例,作者研究了术后梗阻的各种放射学表现。这些梗阻可能是早期的,即在肠道蠕动恢复之前,也可能是继发性的,即在蠕动恢复后的几天内。作者将术后晚期梗阻排除在本研究之外。术后梗阻有多种机制:器质性梗阻可能是由于粘连,也可能是由于肠袢的凝集或嵌顿。功能性梗阻最常伴有局部炎症区域。混合性梗阻是术后时期的一个特殊特征:与炎症区域接触的肠袢凝集。作者强调了放射学解释的困难以及放射学和手术结果之间经常存在的分歧。