CAJ | 학술논문

目的：探讨多层螺旋CT（ MSCT）应用于胃肠道穿孔诊断中的临床价值。方法回顾性分析55例经临床手术证实的胃肠道穿孔患者的病历资料，术前均行数字化X线摄影（ DR）与MSCT检查，以手术病检结果为金标准，对比分析DR与MSCT的检查结果。结果共55例胃肠道穿孔患者（其中：胃窦穿孔14例，十二指肠球部前壁穿孔21例，空肠5例，回肠10例，阑尾3例，乙状结肠2例）。 MSCT检出腹腔游离气体54例，准确率约为98．2％，而DR检出腹腔游离气体31例，检出率约为56．4％，两种检查方法之间的差异具有统计学意义（P＜0．05）；MSCT准确判定穿孔部位44例，准确率约为80．0％，而DR未能够提示穿孔部位，两种检查方法之间的差异具有统计学意义（P＜0．05）。结论 MSCT技术在胃肠道穿孔的诊断中相较于DR技术，具有极高的准确率，能正确显示大致穿孔部位，对临床治疗有很大的指导意义。
목적：탐토다층라선CT（ MSCT）응용우위장도천공진단중적림상개치。방법회고성분석55례경림상수술증실적위장도천공환자적병력자료，술전균행수자화X선섭영（ DR）여MSCT검사，이수술병검결과위금표준，대비분석DR여MSCT적검사결과。결과공55례위장도천공환자（기중：위두천공14례，십이지장구부전벽천공21례，공장5례，회장10례，란미3례，을상결장2례）。 MSCT검출복강유리기체54례，준학솔약위98．2％，이DR검출복강유리기체31례，검출솔약위56．4％，량충검사방법지간적차이구유통계학의의（P＜0．05）；MSCT준학판정천공부위44례，준학솔약위80．0％，이DR미능구제시천공부위，량충검사방법지간적차이구유통계학의의（P＜0．05）。결론 MSCT기술재위장도천공적진단중상교우DR기술，구유겁고적준학솔，능정학현시대치천공부위，대림상치료유흔대적지도의의。
Objective To explore the clinical value of multislice spiral CT in the diagnosis of gastrointestinal perforation .Methods A retrospective analysis of 55 cases of surgically confirmed by clinical gastrointestinal perforation in patients with medical records , underwent preoperative digital X-ray radiography ( DR) and MSCT examination to surgery-pathological examination results as the gold standard , comparative analysis of DR inspection and MSCT check the results .Results A total of 55 cases of gastrointestinal perforation in patients ( including:14 cases of gastric antrum , 21 cases of duodenal anterior , five cases of jejunum section 10 cases of ileal , three cases of appendix section 2 cases of sigmoid department ) .MSCT detected 54 cases of intraperitoneal free gas , the accuracy rate of about 98.2 %, while the DR detection of intraperitoneal free gas 31 cases, the detection rate of about 56.4%, the difference between the two methods was statistically significant (P<0.05);MSCT accurately determine the perforation site in 44 cases, the accuracy rate of about 80.0 %, while DR has failed to prompt perforation site , the difference between the two methods was statistically significant (P<0.05).Conclusions In the diagnosis of gastrointestinal perforation , MSCT technology compared to DR technology , with high accuracy , can display the approximate site of the perforation is correct , there is a lot of clinical significance .