电邮这篇文章 磁共振成像在腹腔肛管直肠癌切除术后降结肠坏死的诊断中的作用
- 作者: Myalina S.A.1, Paziuk K.I.2, Berezovskaya T.P.1, Nevolskikh A.A.1,2, Potapov A.L.1, Ivanov S.A.1,2,3
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隶属关系:
- National Medical Research Radiological Center, A. Tsyb Medical Radiological Research Centre
- Obninsk Institute for Nuclear Power Engineering ― National Research Nuclear University MEPhI
- Peoples’ Friendship University of Russia
- 期: 卷 4, 编号 1 (2023)
- 页面: 61-69
- 栏目: 临床病例及临床病例的系列
- URL: https://journals.rcsi.science/DD/article/view/146876
- DOI: https://doi.org/10.17816/DD227288
- ID: 146876
如何引用文章
详细
本文介绍了一个通过磁共振成像诊断的腹腔直肠切除术后降结肠坏死的病例。
一名47岁的男性患者在局部晚期直肠癌的联合治疗期间接受了腹腔镜辅助下的腹腔肛管直肠切除术，并医生形成了结肠贮袋和横结肠造口。手术后发生了并发症，即炎症反应综合征。手术后第3天，造影剂增强磁共振成像显示了降结肠至结肠肛门吻合的15厘米处肿胀，造影剂急剧减少；直肠镜检查没显示变化。手术后第6天，磁共振成像显示了结肠贮袋前壁有缺陷，形成了壁性气腔；直肠镜检查显示了肠壁有坏死迹象。手术后第10天，磁共振成像检查结果没有任何动态变化。由于炎症的迹象越来越明显，因此重新进行了吻合口隔绝术，并切除了坏死的肠段。
直肠手术后降结肠缺血是一种罕见但非常严重的并发症。我们的临床观察表明造影剂增强磁共振成像的优点，具体来说，作为一种对手术后有并发症的患者进行动态监测的非侵入性方法，为了早期诊断缺血和肠壁缺陷，造影剂增强磁共振成像有助于采取正确的患者管理策略。
作者简介
Sofiya A. Myalina
National Medical Research Radiological Center, A. Tsyb Medical Radiological Research Centre
Email: samyalina@mail.ru
ORCID iD: 0000-0001-6686-5419
SPIN 代码: 9668-3834
俄罗斯联邦, Obninsk
Ksenia I. Paziuk
Obninsk Institute for Nuclear Power Engineering ― National Research Nuclear University MEPhI
编辑信件的主要联系方式.
Email: komolovaksusha@yandex.ru
ORCID iD: 0009-0000-0036-9877
俄罗斯联邦, Obninsk
Tatiana P. Berezovskaya
National Medical Research Radiological Center, A. Tsyb Medical Radiological Research Centre
Email: berez@mrrc.obninsk.ru
ORCID iD: 0000-0002-3549-4499
SPIN 代码: 5837-3465
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, ObninskAlexey A. Nevolskikh
National Medical Research Radiological Center, A. Tsyb Medical Radiological Research Centre; Obninsk Institute for Nuclear Power Engineering ― National Research Nuclear University MEPhI
Email: nevol@mrrc.obninsk.ru
ORCID iD: 0000-0001-5961-2958
SPIN 代码: 3787-6139
MD, Dr. Sci. (Med.)
俄罗斯联邦, Obninsk; ObninskAleksandr L. Potapov
National Medical Research Radiological Center, A. Tsyb Medical Radiological Research Centre
Email: ALP8@yandex.ru
ORCID iD: 0000-0003-3752-3107
SPIN 代码: 9189-4126
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, ObninskSergey A. Ivanov
National Medical Research Radiological Center, A. Tsyb Medical Radiological Research Centre; Obninsk Institute for Nuclear Power Engineering ― National Research Nuclear University MEPhI; Peoples’ Friendship University of Russia
Email: oncourolog@gmail.com
ORCID iD: 0000-0001-7689-6032
SPIN 代码: 4264-5167
MD, Dr. Sci. (Med.), Professor
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