医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2015年
2期
269-273
,共5页
兰国宾%戴士林%路凯%孙晓霞%李凤陈
蘭國賓%戴士林%路凱%孫曉霞%李鳳陳
란국빈%대사림%로개%손효하%리봉진
胃肠道穿孔%剑突下隐窝%气腹%体层摄影术%X 线计算机
胃腸道穿孔%劍突下隱窩%氣腹%體層攝影術%X 線計算機
위장도천공%검돌하은와%기복%체층섭영술%X 선계산궤
Gastrointestinal perforation%Recess under xiphoid%Pneumoperitoneum%Tomography,X-ray computed
目的:探讨C T扫描后多种窗宽、窗位调整技术在胃肠穿孔诊断中的价值。方法对42例临床确诊的胃肠穿孔病例的 CT 表现进行回顾性分析,观察肺窗、腹窗、脂肪窗在发现不同部位气腹征的差异。结果本组研究中合理运用三种窗宽、窗位技术可以提高气腹征的检出率,经礸2检验分析显示不同部位气腹征的统计数据如下:肝脏表面周围(礸2=7.536,P <0.05),胃小网膜囊(礸2=6.991,P <0.05),肝门肝裂部(礸2=8.663,P <0.05),胃脾间隙(礸2=0.577,P>0.05),肾周(礸2=0.097,P >0.05),升降结肠周围(礸2=0.686,P >0.05),肠系膜及小肠周围(礸2=27.118,P <0.05),大网膜前后(礸2=0.445,P >0.05),回盲部(礸2=5.072,P >0.05),直肠、乙状结肠周围(礸2=10.286,P <0.05)。结论肺窗对肝脏表面周围游离气体检出率最高,腹窗对胃小网膜囊及肝门、肝裂积气显示较好;对于肠系膜及小肠周围积气首选脂肪窗;直肠、乙状结肠周围的积气以腹窗显示率最高;因此上腹部应该选择肺窗和腹窗来观察气腹征,中腹部首选脂肪窗观察气腹征,下腹、盆腔的游离气体使用标准腹窗更利于发现气腹征。
目的:探討C T掃描後多種窗寬、窗位調整技術在胃腸穿孔診斷中的價值。方法對42例臨床確診的胃腸穿孔病例的 CT 錶現進行迴顧性分析,觀察肺窗、腹窗、脂肪窗在髮現不同部位氣腹徵的差異。結果本組研究中閤理運用三種窗寬、窗位技術可以提高氣腹徵的檢齣率,經礸2檢驗分析顯示不同部位氣腹徵的統計數據如下:肝髒錶麵週圍(礸2=7.536,P <0.05),胃小網膜囊(礸2=6.991,P <0.05),肝門肝裂部(礸2=8.663,P <0.05),胃脾間隙(礸2=0.577,P>0.05),腎週(礸2=0.097,P >0.05),升降結腸週圍(礸2=0.686,P >0.05),腸繫膜及小腸週圍(礸2=27.118,P <0.05),大網膜前後(礸2=0.445,P >0.05),迴盲部(礸2=5.072,P >0.05),直腸、乙狀結腸週圍(礸2=10.286,P <0.05)。結論肺窗對肝髒錶麵週圍遊離氣體檢齣率最高,腹窗對胃小網膜囊及肝門、肝裂積氣顯示較好;對于腸繫膜及小腸週圍積氣首選脂肪窗;直腸、乙狀結腸週圍的積氣以腹窗顯示率最高;因此上腹部應該選擇肺窗和腹窗來觀察氣腹徵,中腹部首選脂肪窗觀察氣腹徵,下腹、盆腔的遊離氣體使用標準腹窗更利于髮現氣腹徵。
목적:탐토C T소묘후다충창관、창위조정기술재위장천공진단중적개치。방법대42례림상학진적위장천공병례적 CT 표현진행회고성분석,관찰폐창、복창、지방창재발현불동부위기복정적차이。결과본조연구중합리운용삼충창관、창위기술가이제고기복정적검출솔,경찰2검험분석현시불동부위기복정적통계수거여하:간장표면주위(찰2=7.536,P <0.05),위소망막낭(찰2=6.991,P <0.05),간문간렬부(찰2=8.663,P <0.05),위비간극(찰2=0.577,P>0.05),신주(찰2=0.097,P >0.05),승강결장주위(찰2=0.686,P >0.05),장계막급소장주위(찰2=27.118,P <0.05),대망막전후(찰2=0.445,P >0.05),회맹부(찰2=5.072,P >0.05),직장、을상결장주위(찰2=10.286,P <0.05)。결론폐창대간장표면주위유리기체검출솔최고,복창대위소망막낭급간문、간렬적기현시교호;대우장계막급소장주위적기수선지방창;직장、을상결장주위적적기이복창현시솔최고;인차상복부응해선택폐창화복창래관찰기복정,중복부수선지방창관찰기복정,하복、분강적유리기체사용표준복창경리우발현기복정。
Objective To discuss the value of multiple window parameters of MSCT in gastrointestinal perforation . Methods We analysed retrospectively imaging findings of 42 cases of gastrointestinal perforation confirmed by operation and discussed the value of dissociative gas on CT image of lung window ,abdominal window and fat window .Results In all 42 cases , there are differences in three kinds of windows observing dissociative gas .Statistical analysis shows as fouows :surface of live (χ2= 7 .536 ,P < 0 .05) lesser omentum bursa (χ2 = 6 .991 ,P < 0 .05) porta hepatis and hepatic fissure (χ2 = 8 .663 ,P < 0 .05) gastrosplenic space (χ2= 0 .577 ,P > 0 .05) pararenal space (χ2 = 0 .097 ,P > 0 .05) a‐round the colon (χ2 = 0 .686 ,P > 0 .05) around the mesentery and small intestine (χ2= 27 .118 ,P > 0 .05) surface of o‐mentum majus (χ2= 0 .445 ,P > 0 .05) ileocecus (χ2= 5 .072 ,P > 0 .05) around the rectum and sigmoid colon (χ2 =10.286 ,P < 0 .05) .Conclusion Observing the dissociative gas of epigastrium should select lung window and abdominal window .Observing the dissociative gas of midabdomen should select fat window .Observing the dissociative gas of pelvic cavity should select abdominal window .