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There are a few reports of features of internal hernia on CT. The largest series was a retrospective review of 17 patients by Blachar et al. They put forth the following CT findings in internal hernia:(1) evidence of small-bowel obstruction,(2) a cluster of small-bowel loops,(3) a saclike mass of small bowel,(4) crowding of mesenteric vessels, and (5) displacement of the mesenteric trunk.

有几篇关于腹内CT表现的报道,其中最大的研究是由Blachar等人对17例病例所作的回顾性分析,他们提出以下的腹内CT表现:(1)小肠梗阻的证据;(2)小肠肠管堆积;(3)小肠的囊性团块;(4)肠系膜血管拥挤;(5)肠系膜蒂的移位。

Clustering displacing of small朾owel loops were found in 9 cases. Reduced enhancement of intestion wall were found in 5 cases. Demonstrated as a saclike mass between stomach and pancrase were found in 2 cases.

结果 小肠内主要表现为:8例有口,9例有肠管聚集、肠系膜走行异常,5例显示肠壁强化减弱,2例显示胃和胰腺之间囊实性肿块;肠梗阻、腹水。

Results:In experimental group,only 1 patient suffered from sigmoidostomic stenosis.The incidence rate of complications caused by sigmoidostomy was 3.3% and 26 patients (86.7%) got feel of defecation.In control group,the incidence rate of complications caused by sigmoidostomy was much higher (20.0%) and only 8 patients (26.7%) got feel of defecation.

结果:实验组30例中,1例发生造口狭窄,无其他造口并发症发生,并发症发生率为3.3%,26例获排便感(86.7%);对照组30例中,发生造口狭窄1例、造口回缩1例,造口处切口1例、肠脱垂2例、腹内1例,并发症发生率为20.0%,8例有排便感(26.7%)。

B, Spigelian hernia containing obstructed bowel loops.

图6.A,包含肠环的半月线。B,半月线包含梗阻的肠管。

Objective: To summarize the clinical effect on tention free hernioplasty for hernias of abdominal wall.

目的: 观察腹外无张力修补术的临床疗效。

The main points of differential diagnosis between temporal lobe hernia and cerebellar tonsillar hernia.

小脑幕切迹和枕骨大孔的鉴别诊断要点。

Arrows indicate the directions of hernias through these fossae.

箭头表示入这些隐窝的方向。

Objective: To summarize the clinical effect on tentionfree hernioplasty for hernias of abdominal wall.

目的: 观察腹外无张力修补术的临床疗效。

Objective To summarize the clinical experience of the mesh-plug repair of inguinal hernias.

目的总结无张力修补术治疗腹股沟的临床经验。

Methods Retrospective analysis were done to 75 patients of the mesh-plug repair of inguinal hernias in treatment.

方法对75例各类腹股沟行无张力修补术治疗情况进行回顾性分析。

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