A preliminary study on ultrasonic classification and its clinical value of adhesive intestinal obstruction / 中华超声影像学杂志

ABSTRACT

Objective:To establish the ultrasonic classification criteria of adhesive intestinal obstruction (AIO) and to discuss its clinical value.Methods:The data of 124 cases of AIO confirmed by surgery and pathology in Tianjin Nankai Hospital from January 2014 to October 2019 were retrospectively analyzed. The ultrasonic image features of AIO were summarized. According to the severity of ultrasound images it can be divided into three different types simple (mild) AIO, complex (moderate) AIO and critical (severe) AIO. The surgery plan was simulated according to the ultrasonic classification results and compared with the actual surgery results.Results:①The ultrasonic classification results of 124 cases of AIO were as follows simple (mild) AIO in 73 cases (58.9%), complex (moderate) AIO in 16 cases (12.9%), critical (severe) AIO in 35 cases (28.2%). ②The characteristic ultrasonic images of simple (mild) AIO were adhesion of the intestinal wall to the intestinal wall and the intestinal wall to the abdominal wall; the characteristic ultrasonic images of complex (moderate) AIO were adhesive band and adhesive mass; the characteristic ultrasonic images of critical (severe) AIO were internal hernia, volvulus, intussusception, intestinal ischemia and necrosis, and bloody ascites. ③According to the results of ultrasound classification, 124 cases of AIO were treated with simulated surgical procedures, and the coincidence rate with the surgical results was high (87.9%).Conclusions:US classification of AIO is helpful for clinical evaluation of the severity of AIO and can provide imaging basis for clinicians to make the correct treatment plan.