超声肠腔充盈造影对大肠形态及走行变异的应用价值

程祖胜 夏国园 钱彩艳 董梁 孙建刚 江珍珍

解剖学报 ›› 2018, Vol. 49 ›› Issue (6) : 730-735.

PDF(457 KB)
欢迎访问《解剖学报》官方网站!今天是 English
PDF(457 KB)
解剖学报 ›› 2018, Vol. 49 ›› Issue (6) : 730-735. DOI: 10.16098/j.issn.0529-1356.2018.06.006
解剖学

超声肠腔充盈造影对大肠形态及走行变异的应用价值

  • 程祖胜1 夏国园2* 钱彩艳2 董梁2 孙建刚2 江珍珍3
作者信息 +

Application value of ultrasonic intestinal filling contrast method in morphology and walking variation of large intestine

  • CHENG Zu-sheng1 XIA Guo-yuan 2* QIAN Cai-yan2 DONG Liang2 SUN Jian-gang2 JIANG Zhen-zhen3
Author information +
文章历史 +

摘要

目的 探讨超声肠腔充盈造影(UIFC)对大肠形态及走行变异的应用价值。 方法 受检查者于检查前禁食8 h,检查前6 h左右口服聚乙二醇电解质散Ⅰ进行清洁灌肠;将胃肠声学造影剂从肛门灌入肠道,行肠腔充盈超声造影;分析UIFC对大肠形态及走行变异应用价值。 结果 超声肠腔充盈造影检查266例,发现大肠形态、走行变异18例,共11种类型,分别为乙状结肠游走6例,横结肠低位3例,脾曲弯曲畸形、短升结肠、降结肠平行变异、无结肠肝曲伴短升结肠、巨大升结肠、结肠肝曲畸形、无回盲瓣、降结肠扭曲、无结肠脾曲伴短降结肠各1例。 结论 超声肠腔充盈造影可为大肠形态、走形变异的筛查提供了有效可行的手段。

Abstract

Objective To investigate the application value of ultrasonic intestinal filling contrast(UIFC)method in morphology and walking variation of large intestine. Methods The examines were checked before fasting for 8 hours, 6 hours before the examination of oral polyethylene glycol electrolyte powder(Ⅰ) for cleaning enema, and gastrointestinal contrast agent into the intestinal tract from the anus after irrigation, and then for intestinal filling contrast ultrasonography. Finally, the application value of UIFC method in morphology and walking variation of large intestine were analyzed. Results Two handred and sixty-six cases of UIFC examination were found that there were changes in walking and morphology of the large intestine in 18 cases, a total of 11 types: 6 cases of sigmoid colon walk, 3 cases of transverse short low, and splenic flexure bending deformity,short ascending colon, descending colon parallel variation,no colon hepatic flexure with short ascending colon, huge ascending colon, hepatic flexure of the colon malformation,no ileocecal valve, descending colon twist,no colon splenic flexure with short descending colon 1 case each. Conclusion The ultrasonic intestinal filling contrast provides a feasible and effective method for screening variation of the morphology and walking variation of large intestine and has important value in clinical application and variation of anatomical structure.

关键词

结肠 / 形态变异 / 走行变异 / 筛查 / 超声肠腔充盈造影 /

Key words

Colon / Morphology variation / Walking variation / Screening / Ultrasonic intestinal filling contrast / Human

引用本文

导出引用
程祖胜 夏国园 钱彩艳 董梁 孙建刚 江珍珍. 超声肠腔充盈造影对大肠形态及走行变异的应用价值[J]. 解剖学报. 2018, 49(6): 730-735 https://doi.org/10.16098/j.issn.0529-1356.2018.06.006
CHENG Zu-sheng XIA Guo-yuan QIAN Cai-yan DONG Liang SUN Jian-gang JIANG Zhen-zhen. Application value of ultrasonic intestinal filling contrast method in morphology and walking variation of large intestine[J]. Acta Anatomica Sinica. 2018, 49(6): 730-735 https://doi.org/10.16098/j.issn.0529-1356.2018.06.006

参考文献

[1] Guan Y, Chen HCh, Zhu H, et al. MSCT manifestations of normal sigmoid mesocolon[J]. Journal of Practical Radiology,2014,30(8):1313-1315,1340.(in Chinese)
管玥,陈华成,朱宏,等.正常乙状结肠系膜的MSCT表现[J].实用放射学杂志, 2014, 30 (8):1313-1315,1340.
[2] Horton KM, Fishman EK.CT angiography of the mesenteric circulation[J].Radiol Clin North Am,2010,48(2):331-345.
[3] Ran MCh, Guo W, Zhao J, et al. The anatomical observation of the sigmoid colon and its clinical significance[J].Journal of North Sichuan Medical College,2012,27(5):489-491.(in Chinese)
冉茂成,郭旺,赵军,等.乙状结肠的解剖学观测及临床意义[J].川北医学院学报, 2012, 27(5): 489-491.
[4] Gao ZhD, Ye YJ. Anatomical structures relevant to complete mesocolie excision:mesentery,fascia and space[J].Chinese Journal of Gastrointestinal Surgery,2016,19(10):1084-1087.(in Chinese)
高志冬,叶颖江.完整结肠系膜切除术的相关解剖标志——系膜、筋膜和间隙[J].中华胃肠外科杂志,2016,19(10):1084-1087.
[5] Gao Z,Ye Y,Zhang W,et al.An anatomical, histopathological, and molecular biological function study of the fascias posterior to the interperitoneal colon and its associated mesocolon: their relevance to colonic surgery[J].J Anat,2013,223(2):123-132.
[6] Stelzner S, Hohenberger W, Weber K, et al. Anatomy of the transverse colon revisited with respect to complete mesocolic excision and possible pathways of aberrant lymphatic tumor spread[J].Int J Colorectal Dis,2016,31(2):377-384.
[7] Liu XP, Zeng XF, Deng W, et al. Anatomical observation of complete mesocolic excision during laparoscopic right hemicolectomy[J].Journal of Regional Anatomy and Operative Surgery,2016,25(7):497-499.(in Chinese)
刘晓平,曾祥福,邓伟,等.腹腔镜右半结肠切除术中完整结肠系膜切除的解剖学观察[J].局解手术学杂志,2016,25(7):497-499.
[8] Feng B, Sun J, Ling TL, et al. Laparoscopic complete mesocolic excision (CME) with medial access for right-hemi colon cancer:feasibility and technical strategies[J].Surg Endosc,2012, 26(12):3669-3675.
[9] Chen JY. Short-term efficacy and safety of complete mesocolic excision for treatment of colon cancer[J].Journal of Regional Anatomy and Operative Surgery,2014,23(1):74-75.(in Chinese)
陈金元.完整结肠系膜切除术治疗结肠癌的短期疗效和安全性评价[J].局解手术学杂志,2014,23(1):74-75.
[10] Wang Q, Li XR, Yang Zh, et al. Mesenteric marginal vessel arch attenuates intestinal ischemia-reperfusion injury by compensating blood-supply[J].Acta Anatomica Sinica, 2015,46(3):394-399. (in Chinese)
王强,李欣芮, 杨拯,等.小鼠肠系膜边缘血管弓通过供血代偿减轻肠缺血再灌注损伤[J].解剖学报,2015,46(3):394-399.
[11] Chi P, Guan GX. Standardized laparoscopic right hemicolectomy for right colon cancer[J].Chinese Journal of Operative Procedures of General Surgery(Electronic Edition),2017,11(2):91-94.(in Chinese)
池畔,官国先.不断提高腹腔镜右半结肠癌根治术规范化水平[J].中华普外科手术学杂志(电子版),2017,11(2):91-94.
[12] Du YF,Qu H. The clinical significance of different branches and variations of inferior mesenteric artery in the radical operation of rectal cancer[J].Chinese Journal of Colorectal Diseases(Electronic Edition),2015,4(5):20-22.(in Chinese)
杜燕夫,渠浩.肠系膜下动脉不同的分支和变异在直肠癌根治术中的临床意义[J].中华结直肠疾病电子杂志,2015,4(5):20-22.
[13] Luo YY, Teng YP, Liu H, et al. Expression of vitamin A in peripheral blood and differential expression of retinoic acid receptor α and HA117 in colon segments of children with Hirschsprung’s disease[J].Acta Anatomica Sinica,2015,46(4):558-563. (in Chinese)
罗媛圆,滕银平,刘行,等.先天性肠无神经节细胞症患儿中血清维生素A及肠组织维甲酸受体α和HA117的表达特点[J].解剖学报, 2015,46(4):558-563.
[14] Minordi LM, Scaldaferri F,Marra RS,et al.Enterography CT without and with water enema in patients with Crohn’s disease: results from a comparative observational study in comparison with endoscopy[J].Eur J Radiol, 2016,85(2):404-413.
[15] Sibileau E, Ridereau-Zins C, Vanel D, et al. Accuracy of water-enema multidetector computed tomography (WE-MDCT) in colon cancer staging: a prospective study[J].Abdom Imaging,2014, 39(5):941-948.
[16] Zhang YW, Huang WF, Liu ShH. Application value of hypotonic water enema low-dose MDCT in screening for large intestine diseases[J].Radiologic Practice, 2017, 32(4): 423-426. (in Chinese)
张有为,黄文峰,刘世华.低张水灌肠低剂量MDCT在大肠疾病筛查中的应用价值[J].放射学实践,2017,32(4):423-426.
[17] Sun ZY, Xia LM, Wang ChY, et al. Three-dimensional MR imaging in detection of congenital malformations of fetal colon[J].Chinese Journal of Magnetic Resonance Imaging, 2010,1(6):442-447.(in Chinese)
孙子燕,夏黎明,王承缘.三维磁共振成像在检出胎儿结肠先天异常方面的应用[J].磁共振成像, 2010,1(6):442-447.
[18] Long Y, Xia GY. Value of bowel contrast ultrasonography in colorectal diseases[J]. China Journal of Modern Medicine,2016,26(13):116-121.(in Chinese)
龙煜,夏国园.肠腔充盈超声造影在大肠疾病检查中的应用价值[J].中国现代医学杂志, 2016, 26(13):116-121.
[19] Lu M, Yan B, Song J,et al. Double-contrast-enhanced sonography for diagnosis of rectal lesions with pathologic correlation[J].J Ultrasound Med,2014,33(4):575-583.
[20] Long Y, Xia GY,Qian CY. Clinical application of contrast-enhanced ultrasonography in the diagnosis of colorectal diseases[J].Chinese Journal of Rural Medicine and Pharmacy, 2014, 21(17):76-77.(in Chinese)
龙煜,夏国园,钱彩艳.超声造影在大肠疾病检查中的临床应用[J].中国乡村医药, 2014, 21 (17):76-77.
[21] Xia GY, Qian  CY, Cheng ZSh, et al. The study of clinical application of double contrast ultrasonography in screening of large bowel tumours[J].Chinese Journal of Ultrasound in Medicine,2017,33(6):547-550.(in Chinese)
夏国园,钱彩艳,程祖胜,等.超声双重造影对大肠肿瘤筛查的临床应用研究[J].中国超声医学杂志,2017,33(6):547-550.
[22] Ren S, Zhang H, Mu Y,et al. Pharmacological effects of astragaloside Ⅳ:a literature review[J].J Tradit Chin Med,2013,33(3):413-416.
[23] Chen ShX, Fan XM, Wang L, et al. Comparative study of double contrast-enhanced ultrasonography and enhanced MRI in preoperative local staging of rectal cancer[J].Journal of Clinical Ultrasound in Medicine,2015,17(8):542-544.(in Chinese)
陈双喜,范小明,王力,等.超声双重造影与静脉造影 MRI 在直肠癌局部分期中的对比研究[J].临床超声医学杂志, 2015,17(8):542-544.
[24] Li SY, Huang PT, Xu HS, et al. Enhanced intensity on preoperative double contrast enhanced sonography as a useful indicator of lymph node metastasis in patients with gastric cancer[J].J Ultrasound Med,2014,33(10):1773-1781.

基金

浙江省公益性技术应用研究社会发展项目

PDF(457 KB)

Accesses

Citation

Detail

段落导航
相关文章

/