中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
8期
180-181
,共2页
超声%胃肠道穿孔%定位诊断%价值
超聲%胃腸道穿孔%定位診斷%價值
초성%위장도천공%정위진단%개치
Ultrasound%Gastrointestinal perforation%Diagnosis value orientation
目的：研究分析超声在胃肠道穿孔诊断和定位诊断中的价值。方法回顾性分析该院收治的30例经手术病理证实的消化道穿孔患者的病历资料，并进行超声诊断和X线平片进行诊断，观察分析胃肠道穿孔患者诊断中引起急腹症的胆囊、胰腺、胃、肠道等有无病变及肠间有无积液及腹腔有无游离气体等。结果超声发现膈下游离气体者26例（86.7%），胃肠道穿孔患者经过X线平片诊断出20例（66.7%），超声诊断检出率高于X线片平面检出率，差异有统计学意义（P<0.05）。结论胃肠道穿孔患者进行超声检查，诊断价值相对较高，还能实现定位诊断，是常规检查有效的手段之一，值得临床推广应用。
目的：研究分析超聲在胃腸道穿孔診斷和定位診斷中的價值。方法迴顧性分析該院收治的30例經手術病理證實的消化道穿孔患者的病歷資料，併進行超聲診斷和X線平片進行診斷，觀察分析胃腸道穿孔患者診斷中引起急腹癥的膽囊、胰腺、胃、腸道等有無病變及腸間有無積液及腹腔有無遊離氣體等。結果超聲髮現膈下遊離氣體者26例（86.7%），胃腸道穿孔患者經過X線平片診斷齣20例（66.7%），超聲診斷檢齣率高于X線片平麵檢齣率，差異有統計學意義（P<0.05）。結論胃腸道穿孔患者進行超聲檢查，診斷價值相對較高，還能實現定位診斷，是常規檢查有效的手段之一，值得臨床推廣應用。
목적：연구분석초성재위장도천공진단화정위진단중적개치。방법회고성분석해원수치적30례경수술병리증실적소화도천공환자적병력자료，병진행초성진단화X선평편진행진단，관찰분석위장도천공환자진단중인기급복증적담낭、이선、위、장도등유무병변급장간유무적액급복강유무유리기체등。결과초성발현격하유리기체자26례（86.7%），위장도천공환자경과X선평편진단출20례（66.7%），초성진단검출솔고우X선편평면검출솔，차이유통계학의의（P<0.05）。결론위장도천공환자진행초성검사，진단개치상대교고，환능실현정위진단，시상규검사유효적수단지일，치득림상추엄응용。
Objective To study the diagnosis and analysis of ultrasonic perforation diagnostic value in gastrointestinal tract. Methods A retrospective analysis of 15 cases admitted in our hospital were confirmed by surgery and pathology of gastrointestinal perforation were retrospectively reviewed, and diagnosed by ultrasound and X-ray diagnosis, observation and analysis of gastroin-testinal perforation caused by acute abdomen in the diagnosis of patients with gallbladder, pancreas, stomach, intestines etc. there is no lesions and between intestinal hydrops and abdominal no free gas etc. Results The ultrasonic findings of 13 cases of sub-phrenic free gas' (86.7%), patients after X-ray diagnosis of 10 cases of gastrointestinal perforation(66.7%), ultrasonic diagnostic detection rate is higher than that of X-ray plane detection rate, the diffovence was statistical significance (P<0.05). Conclusion Pa-tients underwent ultrasonography diagnosis of perforation of gastrointestinal tract, a relatively high value, but also realize the localization diagnosis, is one of the routine examination method of effective, worthy of clinical application.
