医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2014年
10期
1775-1778
,共4页
周晓秋%王宝春%操啸%刘云峰
週曉鞦%王寶春%操嘯%劉雲峰
주효추%왕보춘%조소%류운봉
腹部%体层摄影术 ,X线计算机%胃肠穿孔
腹部%體層攝影術 ,X線計算機%胃腸穿孔
복부%체층섭영술 ,X선계산궤%위장천공
Abdomen%Tomography,X-ray computed%Gastrointestinal tract perforation
目的：分析C T在消化道穿孔中的诊断价值。方法回顾性分析51例经手术证实的消化道穿孔病例，术前行立位腹部平片检查者41例，腹部C T扫描者51例，比较两种检查方法在消化道穿孔中的诊断价值。结果41例X线片检出游离气体26例，CT检出50例，CT检出率高于普通X线检查（ P ＜0．05）。CT显示腹内游离气体呈新月状或小气泡影（50例），胃肠穿孔处周围局限性积液或蜂窝织炎（34例），阑尾周围脓肿（3例），肠梗阻（5例），胃肠壁增厚（25例），胃肠壁肿块（2例），胃肠壁缺损（4例），腹水（30例）。C T对穿孔病因的诊断符合率为68．6％（35/51），对穿孔部位的诊断符合率为88．2％（45/51）。结论螺旋C T诊断胃肠道穿孔是一种有效的检查方法，且对穿孔部位和病因的诊断也具有重要价值。
目的：分析C T在消化道穿孔中的診斷價值。方法迴顧性分析51例經手術證實的消化道穿孔病例，術前行立位腹部平片檢查者41例，腹部C T掃描者51例，比較兩種檢查方法在消化道穿孔中的診斷價值。結果41例X線片檢齣遊離氣體26例，CT檢齣50例，CT檢齣率高于普通X線檢查（ P ＜0．05）。CT顯示腹內遊離氣體呈新月狀或小氣泡影（50例），胃腸穿孔處週圍跼限性積液或蜂窩織炎（34例），闌尾週圍膿腫（3例），腸梗阻（5例），胃腸壁增厚（25例），胃腸壁腫塊（2例），胃腸壁缺損（4例），腹水（30例）。C T對穿孔病因的診斷符閤率為68．6％（35/51），對穿孔部位的診斷符閤率為88．2％（45/51）。結論螺鏇C T診斷胃腸道穿孔是一種有效的檢查方法，且對穿孔部位和病因的診斷也具有重要價值。
목적：분석C T재소화도천공중적진단개치。방법회고성분석51례경수술증실적소화도천공병례，술전행립위복부평편검사자41례，복부C T소묘자51례，비교량충검사방법재소화도천공중적진단개치。결과41례X선편검출유리기체26례，CT검출50례，CT검출솔고우보통X선검사（ P ＜0．05）。CT현시복내유리기체정신월상혹소기포영（50례），위장천공처주위국한성적액혹봉와직염（34례），란미주위농종（3례），장경조（5례），위장벽증후（25례），위장벽종괴（2례），위장벽결손（4례），복수（30례）。C T대천공병인적진단부합솔위68．6％（35/51），대천공부위적진단부합솔위88．2％（45/51）。결론라선C T진단위장도천공시일충유효적검사방법，차대천공부위화병인적진단야구유중요개치。
Objective To analyze the value of Spiral CT in the diagnosis of gastrointestinal (GI) tract perforation .Meth-ods 51 cases that had gastrointestinal tract perforation confirmed by surgery were retrospectively studied in this research . All these cases had CT examination and 41 cases had abdominal plain film examination on the same day .Moreover ,the di-agnostic value of the two methods in gastrointestinal (GI) tract perforation was compared .Results Free air was only shown in 26 cases out of 41 by X-ray examination ,but 50 cases out of 51 by Spiral CT examination .CT examination detec-tion rate was higher than ordinary X-ray examination ( P<0 .05) .The direct CT sign of gastrointestinal tract perforation was“crescent”or“bubble”sign formed by the air within peritoneal cavity ,which were detected in 50 cases .The other find-ings were showing the localized fluid or cellulites adjacent to the gastrointestinal tract perforation (n=34) and appendiceal abscess (n=3) .5 cases were associated with bowel obstruction ,25 cases with gastrointestinal wall thickening ,2 cases with gastrointestinal mass ,4 cases with gastrointestinal wall defect ,and 30 cases with ascites .Of the 51 patients ,the sensitivity of CT in diagnosis of the site of perforated digestive tract was 88 .2% (45/51) and the accuracy of etiology ascer-tained by CT was 68 .6% (35/51) .Conclusion Spiral CT examination is an effective scan method for the diagnosis of gas-trointestinal perforation ,and it is important to the location and cause of perforation diagnosis .
