CAJ | 학술논문

目的：探讨128层螺旋 CT 在腹部空腔器穿孔定位诊断中的价值。方法：回顾性分析60例腹部空腔器穿孔的 CT 表现，并结合文献总结其 CT 特征。结果：所有病例均经临床及手术证实。胃、十二指肠破裂穿孔23例，空回肠破裂穿孔13例，结肠破裂穿孔20例，阑尾炎穿孔3例，另1例子宫穿孔。CT 表现为腹腔游离气体、局限性腔外小气泡征、腹腔积液、胃肠壁节段性增厚、胃肠道壁周脂肪间筋膜增厚条索状影等。结论：128层螺旋 CT 对临床提供及时准确诊断，对明确穿孔部位及合并症提供重要的临床价值。
목적：탐토128층라선 CT 재복부공강기천공정위진단중적개치。방법：회고성분석60례복부공강기천공적 CT 표현，병결합문헌총결기 CT 특정。결과：소유병례균경림상급수술증실。위、십이지장파렬천공23례，공회장파렬천공13례，결장파렬천공20례，란미염천공3례，령1례자궁천공。CT 표현위복강유리기체、국한성강외소기포정、복강적액、위장벽절단성증후、위장도벽주지방간근막증후조색상영등。결론：128층라선 CT 대림상제공급시준학진단，대명학천공부위급합병증제공중요적림상개치。
Objective: To evaluate the value of 128 slice spiral CT in localizing abdominal hollow viscera perforation. Materials and methods: CT findings of 60 patients with abdominal hollow viscera perforation proved by surgery were retrospectively analyzed. Results: 59 cases were located in stomach and intestine (23 gastroduodenal, 13 jejunum and ileum, 3 appendix, 20 colon), and the other 1located in uterine. The main signs of cavity organs perforation included gas accumulation, extra air bubble sign around perforated viscera, ascites, localized thickening of the intestinal walls, and fat stranding. Conclusion: 128 slice spiral CT has important clinical application value for timely diagnosising the site and complication of the perforation.