超声对胃肠道穿孔及穿孔部位声像图的临床研究  

Clinical Assessment of Diagnosis of Gastrointestinal Tract Perforation and its Location by Ultrasound

作　　者：武心萍[1] 杭桂芳[1] 丁文波[1] 周松阳[1] 王林[1] 

机构地区：[1]江苏省中医药研究院暨省中西医结合医院功能科,南京210028

出　　处：《放射学实践》2008年第12期1387-1389,共3页Radiologic Practice

基　　金：江苏省社会发展基金项目(No.Bs2006559)

摘　　要：目的:检测胃肠道穿孔超声直接声像图特征,探讨胃肠道穿孔的超声诊断及其定位的新方法。方法:对64例临床拟诊消化道穿孔病例先行放射影像学常规检查和常规超声检查,再由经验丰富的医生行胃肠道超声检查,观察胃肠穿孔超声间接声像图和直接声像图,并与手术结果对照。结果:临床确诊的64例胃肠道穿孔,其中57例超声检测到直接征象,显示率89%(57/64),57例中检测到穿孔起源部位声像图46例,显示率71%(46/64)。且有37例X线平片常规检查发现直接声像,显示率58%(37/64)。结论:超声检查胃肠道穿孔能显示穿孔的直接声像图及起源部位声像图,从而明确穿孔及穿孔部位,其敏感性高于X线,超声胃肠检查应作为临床诊断胃肠道穿孔的常规检查方法。Objective：To study the characteristic of direct sonography in gastrointestinal tract perforation and explore new sonographic method for diagnosis of gastrointestinal tract perforation. Methods：The patients suspected of gastrointestinal tract perforation were examined firstly by radiography and conventional examination of the ultrasound, and then subjected to indirect and direct sonography by the experienced examiner. The findings of ultrasound were correlated with those of surgical operation. Results.. In 64 patients with gastrointestinal tract perforation, direct signs were observed in 57 cases by ultrasound （89%）. Of 57 cases, 46 showed the site of perforation （71%）. Direct signs were found in 37 cases by X-ray （58 %）. Conclusion：Ultrasound shows the direct signs and the site of perforation in gastrointestinal tract perforation, and its sensitivity is higher than X-ray. Ultrasound examination of gastrointestinal tract should be a routine preferred method for gastrointestinal tract perforation.

关 键 词：超声检查 消化性溃疡穿孔 肠穿孔 胃肠疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学] R573.1[医药卫生—诊断学]