理论联系实践,带你全面剖析肠梗阻X线表现

2021-10-20 华夏影像诊断中心 华夏影像诊断中心

肠梗阻概念:任何原因引起的肠内容物通过障碍统称肠梗阻。

肠梗阻概念:任何原因引起的肠内容物通过障碍统称肠梗阻。

肠梗阻分类(梗阻原因):

机械性(最常见)

单纯性:只有肠道通畅障碍,无血运障碍

绞窄性:既有肠道通畅障碍,又伴有血运障碍

动力性:

麻痹性:

痉挛性:

血运性:

肠系膜动脉血栓形成或栓塞——血循环障碍+肠肌运动功能失调

肠梗阻分类(梗阻部位):

高位梗阻:空肠上段

低位梗阻:空肠下段——结肠

肠梗阻分类(梗阻程度)

完全性肠梗阻:肠管被完全堵塞,导致肠内容物不能通过

不完全性肠梗阻:肠道还没有被完全阻塞,仍有部分食物、水、

气体通过

肠梗阻临床表现

腹痛、腹胀、恶心、呕吐、停止排气、排便

体征:腹部膨隆、有压痛

听诊:肠鸣音增强,有气过水声

注意!!!

梗阻部位越高,呕吐出现越早,越频繁!

高位性肠梗阻呕吐物的特点:呕吐出现早,且频繁,呕吐物为胃及十二

指肠内容物。

低位性肠梗阻呕吐物的特点:呕吐迟而少,呕吐物为粪样。

绞窄肠梗阻呕吐物的特点:呕吐物呈棕褐色或血性。

幽门梗阻呕吐物的特点:呕吐物为带酸臭味的宿食。

腹部常见的正常气-液平面

胃底

十二指肠球部(灯泡样)

回肠末段及结肠

图片

图片

肠管管径

小肠正常直径<2.5cm

结肠直径约4~5cm

盲肠最大径约5~7cm

肠梗阻的影像表现

X线检查的目的:

①是否有肠梗阻存在

②如果有肠梗阻,应了解梗阻的部位

③分析梗阻原因(较困难)

立位检查,可见到阶梯样、长短不一气液平面。梗阻以上肠管积气、积液与肠管扩张。

卧位检查,可见到胀气肠襻的分布情况小肠居中央,结肠占据腹部外周。

高位空肠梗阻时,胃内出现大量的气体和液体。

低位小肠梗阻,则液平面较多。

完全性梗阻时,结肠内无气体或仅有少量气体。

小肠高位完全梗阻(一)

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图片

立位:左上腹肠管内积气,并可见多个气液平面。

卧位:肠道皱襞近似成弹簧样——空肠。

立、卧位片,梗阻段以下小肠、结肠均未见明显积气。

绿色箭头为输尿管支架——双J管。

小肠高位完全梗阻(二)

图片

图片

该患者为胃大部分切除术后,因腹痛来诊。

腹部立、卧位片示,肠道内无明显积气。考虑为,小肠高位梗阻,梗阻段以下气体及内容物排出,梗阻段以上为肠管内液体滞留。

图片

图片

图片

口服泛影葡胺后,残胃及游离十二指肠、上段空肠显影,造影剂完全充填,上段空肠扩张明显。

CT示,梗阻部位有异物嵌顿。

  • 小肠低位梗阻(一)

图片

图片

梗阻段以上空肠、回肠内可见多发长短不一、阶梯样气液平面,管腔扩张明显。

梗阻段以下小肠、结肠内积气不明显。

梗阻段应在回肠上段。

  • 小肠低位梗阻(二)

图片

图片

回肠末段积气,轻度扩张,并可见多个短小气液平面。该部位的梗阻应该考虑到阑尾炎的可能性。

  • 小肠低位不全梗阻

图片

图片

患者口服泛影葡胺后,造影剂可达直肠,但中腹部小肠管腔明显扩张,并可见多个阶梯样气液平面。诊断为小肠低位不全梗阻。

  • 结肠梗阻

图片

图片

结肠肠管扩张明显,升、降结肠区肠管内可见多个气液平面。

图片

腹腔内肠系膜局部扭曲,致乙状结肠局部扭转反位于肝脏外侧,且明显狭窄梗阻,以远结肠明显扩张积气。

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    2021-10-27 爬坡的人生

    学习

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createdAvatar=https://img.medsci.cn/20210612/4cac76eb29134c3aa63a2560971ec878/648fa1cb22cd430380c051eb0a8f6259.jpg, createdBy=7a8d5519826, createdName=呼吸科小医生, createdTime=Thu Oct 21 07:31:25 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062442, encodeId=09d110624428c, content=任何原因引起的肠内容物通过障碍统称肠梗阻, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTIrrxxDxnLic8t6EAs38Qfwo6H2h6JMleIgb9OSYf6LMnVDkQEqUXWoSDWboibjhOBI9SJDTXweqQIA/132, createdBy=50aa5321359, createdName=查查佳佳, createdTime=Thu Oct 21 07:08:48 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062441, encodeId=9bfb1062441a9, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-22 piaojinhua
  4. [GetPortalCommentsPageByObjectIdResponse(id=1064245, encodeId=ec43106424559, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08e65649505, createdName=爬坡的人生, createdTime=Wed Oct 27 01:39:35 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290112, encodeId=e3b91290112b5, content=<a href='/topic/show?id=cea4815e119' target=_blank style='color:#2F92EE;'>#肠梗阻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81571, encryptionId=cea4815e119, topicName=肠梗阻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c950224, createdName=hjwang79, createdTime=Fri Oct 22 13:03:24 CST 2021, time=2021-10-22, status=1, ipAttribution=), 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-21 呼吸科小医生

    好好学习,天天向上

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1064245, encodeId=ec43106424559, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08e65649505, createdName=爬坡的人生, createdTime=Wed Oct 27 01:39:35 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290112, encodeId=e3b91290112b5, content=<a href='/topic/show?id=cea4815e119' target=_blank style='color:#2F92EE;'>#肠梗阻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81571, encryptionId=cea4815e119, topicName=肠梗阻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c950224, createdName=hjwang79, createdTime=Fri Oct 22 13:03:24 CST 2021, time=2021-10-22, status=1, ipAttribution=), 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createdName=呼吸科小医生, createdTime=Thu Oct 21 07:41:42 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062477, encodeId=d21210624e7f2, content=好好学习,天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210612/4cac76eb29134c3aa63a2560971ec878/648fa1cb22cd430380c051eb0a8f6259.jpg, createdBy=7a8d5519826, createdName=呼吸科小医生, createdTime=Thu Oct 21 07:41:38 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062456, encodeId=65ad106245605, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-21 呼吸科小医生

    好好学习,天天向上

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1064245, encodeId=ec43106424559, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08e65649505, createdName=爬坡的人生, createdTime=Wed Oct 27 01:39:35 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290112, encodeId=e3b91290112b5, content=<a href='/topic/show?id=cea4815e119' target=_blank style='color:#2F92EE;'>#肠梗阻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81571, encryptionId=cea4815e119, topicName=肠梗阻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c950224, createdName=hjwang79, createdTime=Fri Oct 22 13:03:24 CST 2021, time=2021-10-22, status=1, ipAttribution=), 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-21 呼吸科小医生

    好好学习,天天向上

    0

  7. 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21 07:41:48 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062479, encodeId=415c10624e974, content=好好学习,天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210612/4cac76eb29134c3aa63a2560971ec878/648fa1cb22cd430380c051eb0a8f6259.jpg, createdBy=7a8d5519826, createdName=呼吸科小医生, createdTime=Thu Oct 21 07:41:45 CST 2021, time=2021-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062478, encodeId=569010624e805, content=好好学习,天天向上, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210612/4cac76eb29134c3aa63a2560971ec878/648fa1cb22cd430380c051eb0a8f6259.jpg, createdBy=7a8d5519826, 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-21 呼吸科小医生

    好好学习,天天向上

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1064245, encodeId=ec43106424559, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08e65649505, createdName=爬坡的人生, createdTime=Wed Oct 27 01:39:35 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290112, encodeId=e3b91290112b5, content=<a href='/topic/show?id=cea4815e119' target=_blank style='color:#2F92EE;'>#肠梗阻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81571, encryptionId=cea4815e119, topicName=肠梗阻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c950224, createdName=hjwang79, createdTime=Fri Oct 22 13:03:24 CST 2021, time=2021-10-22, status=1, ipAttribution=), 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-21 呼吸科小医生

    学习了

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1064245, encodeId=ec43106424559, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08e65649505, createdName=爬坡的人生, createdTime=Wed Oct 27 01:39:35 CST 2021, time=2021-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1290112, encodeId=e3b91290112b5, content=<a href='/topic/show?id=cea4815e119' target=_blank style='color:#2F92EE;'>#肠梗阻#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81571, encryptionId=cea4815e119, topicName=肠梗阻)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c950224, createdName=hjwang79, createdTime=Fri Oct 22 13:03:24 CST 2021, time=2021-10-22, status=1, ipAttribution=), 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211209/2ec00aaeb7ac4750b407b08778c2a7d9/11af5d9e5c464b73aa7f9cd5bd6de07c.jpg, createdBy=c6ba5632941, createdName=yibo❤️💚, createdTime=Thu Oct 21 07:03:57 CST 2021, time=2021-10-21, status=1, ipAttribution=)]
    2021-10-21 查查佳佳

    任何原因引起的肠内容物通过障碍统称肠梗阻

    0

  10. 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    2021-10-21 yibo❤️💚

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