[Studies on the roentgenological differentiation between complex and simple bowel obstruction].

T Torizuka, A Matsui, Y Okuno, F Tanaka, M Mitsumori, T Soga, T Misaki, S Dokoh, K Hayakawa
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Abstract

We studied 81 cases of organic bowel obstruction. In complex obstruction 7 cases out of 25 (28%) were diagnosed on the plain film before operation, although in simple obstruction 54 cases out of 56 (96%). But in retrospective evaluation of the plain films, we noticed that in some cases of complex obstruction, marked small bowel obstruction and ascites were seen from the onset, which were never seen in simple obstruction. We considered this finding as the key point for the roentgenological differentiation between complex and simple obstruction.

[复杂与单纯性肠梗阻的x线学鉴别研究]。
我们研究了81例器质性肠梗阻。复杂梗阻25例中有7例(28%)术前平片诊断,单纯性梗阻56例中有54例(96%)术前平片诊断。但在对平片的回顾性评价中,我们注意到在一些复杂梗阻的病例中,从一开始就可以看到明显的小肠梗阻和腹水,而这在单纯性梗阻中从未见过。我们认为这一发现是鉴别复杂梗阻和单纯性梗阻的关键。
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