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©The Author(s) 2025.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 104777
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.104777
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.104777
Table 1 Ultrasound typing criteria for adhesive intestinal obstruction
The severity of the condition | Ultrasound typing criteria |
Simple type (mild) | Local intestinal adhesion: Local adhesion of the intestinal wall and intestinal wall and abdominal wall, no obvious abdominal-pelvic effusion, local intestinal expansion |
Complex type (moderate) | There are extensive intestinal adhesions in the abdominal cavity, with adhesion band formation, adhesive masses, extensive intestinal dilatation, and a small amount of effusion in the abdominal and pelvic cavity |
Critical condition type (severe type) | There were extensive abdominal adhesions, with intestinal ischemia and necrosis, and more effusion in the abdominal and pelvic cavity |
Table 2 Contrast ultrasound signs of patients in the conservative vs surgical treatment groups, n (%)
Item | Conservative treatment group (n = 58) | Surgical treatment group (n = 62) | χ2 (t) | P value | |
Gender | Male | 25 (43.10) | 29 (46.77) | 0.163 | 0.686 |
Female | 33 (56.90) | 33 (53.23) | |||
Age (year), mean ± SD | 46.50 ± 6.34 | 46.35 ± 6.40 | (0.129) | 0.898 | |
Body mass index (kg/m2), mean ± SD | 20.50 ± 1.23 | 20.40 ± 1.30 | (0.432) | 0.666 | |
Time of onset to presentation (day), mean ± SD | 5.50 ± 1.45 | 5.48 ± 1.46 | (0.075) | 0.940 | |
Medical history of the disease | History of abdominal surgery | 50 (86.21) | 53 (85.48) | 0.012 | 0.909 |
History of gynecological surgery | 5 (8.62) | 5 (8.06) | 0.048 | 0.825 | |
History of acute and chronic inflammation in the abdominal cavity or bowel | 3 (5.17) | 4 (6.45) | 0.008 | 0.927 | |
Ultrasonic sign | Dilatation of intestine | 49 (84.48) | 59 (95.16) | 3.796 | 0.051 |
Pyoperitoneum | 38 (65.52) | 50 (80.65) | 3.506 | 0.061 | |
Adhesion block | 35 (60.34) | 58 (93.55) | 12.958 | 0.000 | |
Decussation | 5 (8.62) | 54 (87.10) | 73.840 | 0.000 |
- Citation: Wang F, Liu C, Wang H. Value analysis of ultrasound classification in disease judgment and treatment plan formulation of patients with adhesive intestinal obstruction. World J Gastrointest Surg 2025; 17(7): 104777
- URL: https://www.wjgnet.com/1948-9366/full/v17/i7/104777.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v17.i7.104777