结肠卷发症是什么意思
Bartley Pickron1, Jocelyn Di Nolfi2, Jessica Hall1
1Division of Surgical Oncology, Department of Surgery, University of Utah, 1950 Circle of Hope, Salt Lake City, UT 84112, USA.
The Surgical clinics of North America
|November 15, 2025
概括
结肠卷发症是大肠阻塞的原因,需要通过成像即时诊断. 治疗方法各不相同,包括对西格形状的病例进行内镜缩小,对形状的病例进行手术.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 腹部成像 腹部成像 腹部成像
背景情况:
- 结肠卷发是大肠阻塞的常见原因之一.
- 最常见的表现形式是西格状体和状体卷发.
- 症状往往模仿其他形式的肠道阻塞.
研究的目的:
- 概述结肠的诊断和管理策略.
- 根据卷积的位置和患者的稳定性来区分治疗方法.
主要方法:
- 对临床表现和诊断成像发现的审查.
- 描述紧急和可选的外科干预.
- 对Sigmoid Volvulus的内镜减少技术的讨论.
主要成果:
- 放射性成像对于诊断至关重要.
- 紧急手术适用于腹膜炎或休克患者.
- 稳定的西格体卷发症患者可能会经历初始内镜缩小,然后进行选择性切除.
结论:
- 结肠卷发症需要纳入肠道阻塞的差异诊断.
- 管理策略是根据特定类型的卷发和患者的病情量身定制的.
- 手术原则指导结肠解剖或切割后转移的决定.
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