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目的探讨超声检查在诊断剖宫产术后腹内疝并发肠梗阻的临床价值。方法对1998-01-2010-12回顾性分析18例经手术证实的剖宫产术后腹内疝并发肠梗阻的声像图特征。结果 18例超声均提示肠梗阻,其中12例提示肠绞窄均得到手术证实,剖宫产术后腹内疝并发肠梗阻超声主要表现为膀胱与子宫之间局限性肠管突入,突入肠管扩张充液;绞窄处肠管变窄,肠内容物通过受阻;不同程度腹腔积液;梗阻部位肠壁水肿增厚,肠管蠕动减弱或消失。结论超声检查是剖宫产术后腹内疝并发肠梗阻的可靠的方法,为临床提供了准确的诊断依据。
Objective To investigate the clinical value of ultrasonography in the diagnosis of intra-abdominal hernia complicated with intestinal obstruction after cesarean section. Methods From January 1998 to October 2010, 18 patients with confirmed intra-hernia and intestinal obstruction after cesarean section were retrospectively analyzed. Results Eighteen patients were diagnosed as intestinal obstruction by ultrasound, of which 12 patients showed intestinal stricture were confirmed by surgery. Intra-abdominal hernia after cesarean section with intestinal obstruction mainly showed localized intestinal bowel invasion between bladder and uterus, Liquid; strangulation at the narrowing of the intestine, intestinal contents blocked; varying degrees of ascites; obstruction of intestinal wall edema, intestinal peristalsis weakened or disappeared. Conclusion Ultrasonography is a reliable method for intra-abdominal hernia complicated with intestinal obstruction after cesarean section, which provides an accurate diagnostic basis for clinical diagnosis.