CAJ | 학술논문

目的：探讨64层螺旋CT对消化道穿孔部位的诊断价值。方法回顾分析经手术证实的75例消化道穿孔患者的CT表现。结果75例患者中，胃穿孔35例，小肠穿孔31例，6例为阑尾炎穿孔，2例结肠癌穿孔，1例结肠憩室穿孔。主要64层螺旋CT征象：腹腔游离气体量及发布，腹腔积液，腹膜炎改变。结论64层螺旋CT对消化道穿孔的准确率较高，通过腹腔气体、腹腔积液、腹膜炎改变对推断消化道穿孔部位具有较高诊断价值。
목적：탐토64층라선CT대소화도천공부위적진단개치。방법회고분석경수술증실적75례소화도천공환자적CT표현。결과75례환자중，위천공35례，소장천공31례，6례위란미염천공，2례결장암천공，1례결장게실천공。주요64층라선CT정상：복강유리기체량급발포，복강적액，복막염개변。결론64층라선CT대소화도천공적준학솔교고，통과복강기체、복강적액、복막염개변대추단소화도천공부위구유교고진단개치。
Objective To inquire into the diagnostic value of the 64-slice spiral CT on the position of gastrointestinal perforation. Methods CT manifestation of 75 cases with gastrointestinal perforation proved by surgery were retrospectively analyzed. Results 75 cases included 35 gastric perforation, 31 intestinal perforation, 6 perforated appendicitis, 2 colon cancer perforation, 1 colonic diverticulum perforation. The main 64-slice spiral CT signs were as follows:the volume and distribution of intra-abdominal free gas, peritoneal effusion and peritonitis. Conclusion It was 64-slice spiral CT that owed a higher accuracy rate in diagnosing gastrointestinal perforation, the charges of intra-abdominal free gas, peritoneal effusion and peritonitis were of great value on deducing the position of gastrointestinal perforation as well.