三维可视化重建技术在肠梗阻诊断中的应用——附1例病例报告

3D Visualization Reconstruction Assists Diagnosis and Treatment of Patients with Complex Intestinal Obstruction: A Case Report

摘要: 背景：肠梗阻的形成有很多原因，有时病因很复杂以至于临床医生无法准确迅速地确定病因和把握手术时机，从而导致治疗延迟或病人死亡。使用3D可视化重建技术的治疗成功案例，可帮助临床医生准确及时地诊断和治疗复杂病因的肠梗阻。病例介绍：患者在14年前进行了剖宫产手术，第二次剖宫产后出现了小肠梗阻。治疗后，病情好转并出院。出院后第27天，突然出现严重的腹痛。重新入院治疗。入院第三天，突然再次出现严重的腹痛。CT增强检查未见明显腹内疝，对症治疗后明显好转。但是，通过三维可视化重建技术，我们可以看到患者腹腔内疝的形成明显。我们对病人进行了手术治疗，病人顺利康复出院，在随访期间没有其他阻塞性症状。结论：3D可视化重建技术可对一般影像学无法明确诊断的肠梗阻的诊断和治疗起到辅助作用。

Abstract: Background: There are many reasons for the formation of intestinal obstruction, and sometimes the etiology is so complicated that the clinician cannot accurately and promptly determine the cause and decide whether surgery is needed when acute abdomen occurs, resulting in delayed treatment or death. We report a successful treatment case using 3D visualization reconstruction technology to help clinicians accurately and timely diagnose and treat intestinal obstruction with complex etiology. Case Presentation: The patient had a cesarean section surgery 14 years ago, and a small bowel obstruction occurred after the second cesarean section. After treatment, the condition improved and was discharged. On the 27th day after discharge, severe abdominal pain suddenly appeared. The patient was admitted to hospital again for treatment. On the third day of admission, severe abdominal pain suddenly appeared again. CT-enhanced examination showed no obvious intra-abdominal hernia, and there was a significant improvement after symptomatic treatment. However, through the three-dimensional visualization reconstruction technology, we can see that the patient has obvious intra-abdominal hernia formation. We performed surgical treatment on the patient, and the patient was cured. There were no more obstructive symptoms during the follow-up period. Conclusion: 3D visual reconstruction techniques may be an effective choice for determining the diagnosis of intestinal obstruction that cannot be clearly diagnosed by general imaging.