腹腔空腔脏器穿孔的CT征象分析  

Abdominal cavity CT signs of organ perforation

作　　者：曹峰[1] 王光建[1] 

机构地区：[1]四川省彭州市人民医院放射科，611930

出　　处：《医学信息（下旬刊）》2011年第8期31-31,共1页Medical information

摘　　要：目的：探讨腹腔空腔脏器穿孔的各种CT征象厦诊断价值。方法：分析经手术证实的25例腹部空腔脏器穿孔病例的各种CT征象。结果：胃十二指肠溃疡穿孔11例，腹部外伤致空回肠穿孔9例，肠结核穿孔、异物（硬鱼骨）致乙状结肠穿孔、粪块性乙状结肠穿孔及子宫积脓自发穿孔各5例，25例腹部空腔脏器穿孔的主要CT征象为剑突下隐窝积气17例（68％）、肝下肝圆韧带间隙积气12例（48％）、网膜囊积气7例（28％）、穿孔脏器周围局限性积气13例（52％）、腹膜后间隙积气3例（12％）、大网膜及肠系膜增厚15例（60％）、腹腔积液14例（56％）以度肠壁增厚5例（2％）等。结论：腹腔游离气体。腹腔游离积液、大网膜及肠系膜改变是腹腔中空脏器穿孔的主要CT表现。Objective Perforation of abdominal cavity organs and diagnostic value of various CT signs. MethodsAnalysis of 25 surgically confirmed cases of abdominal cavity organs of various CT signs of perforation cases. RosultsGastric ulcer perforation in 11 cases, ileum perforation caused by abdominal trauma in 9 cases, intestinal tuberculosis perforation, foreign body （ hard fish bone） caused by sigmoid perforation of the sigmoid colon perforation and fecal spontaneous perforation of pyometra all 5 cases, 25 cases perforation of abdominal cavity organs, the major CT signs of product gas for the crypt under the xiphoid in 17 patients （68%）, hepatic clearance and liver round ligament of pneumopefitoneum in 12 cases （48%）, lesser sac pneumoperitoneum in 7 cases （28%）, perforation of organs around the limitations of product gas in 13 cases （52%）, retropefitoneal space pneumatosis 3 （ 12% ） , omental and mesenteric thickening in 15 case6 （60%）, ascites in 14 cases （56 % ） and bowel wall thickening in 5 patients （2%） and so on. CouclusionIntraperitoneal free gas, free intrapefitoneal fluid, omentum and mesentery of hollow organ perforation of change is a major abdominal CT.

关 键 词：腹腔空腔脏器 穿孔 计算机体层摄影 

分 类 号：R446.3[医药卫生—诊断学]