腹部空腔脏器穿孔超声与X线诊断的比较  

Diagnostic value of ultrasonic versus X-ray examination for perforation of abdominal hollow viscera

作　　者：费军[1] 刘开华[2] 尹碧辉[3] 宋涛[4] 

机构地区：[1]仙桃市第一人民医院超声科,湖北433000 [2]仙桃市第一人民医院放射科,湖北433000 [3]仙桃市第一人民医院普外科,湖北433000 [4]仙桃市第一人民医院信息科,湖北433000

出　　处：《腹部外科》2012年第3期168-169,共2页Journal of Abdominal Surgery

摘　　要：目的比较超声与X线检查对腹部空腔脏器穿孔的诊断价值。方法急腹症待诊者56例，术后确诊为空腔脏器穿孔34例。将X线检查、超声术前拟诊与术后结果比较。结果超声与X线检查诊断腹部空腔脏器穿孔，在准确性、特异性等方面差异无统计学意义；超声敏感性高、且假阴性低。结论诊断空腔脏器穿孔，超声的信息量比X线检查多，能弥补后者检查的不足。Objective To compare the difference between the ultrasonography and X-ray examination in the diagnosis of the perforation of abdominal cavity organs. Methods Out of 56 cases of acute abdomen, 34 were diagnosed as having perforation of the abdominal hollow viscera after the operation. The diagnoses before and after operation in X-ray examination versus ultrasonography -were statistical- ly analyzed. Results There was no significant difference in accuracy and specificity for the diagnosis of perforation of the abdominal hollow viscera between ultrasonography and X-ray examination. The ultrasonography had a high sensitivity and a low false negative rate. The imaging features of the perforation of the abdominal hollow viscera could be concluded as follows.. ①seroperitoneum; ②subdiaphragmatic free air; ③abdominal mass and pressing pain of mass point;④attenuation or disappearance of enterokinesia. Conclusion The ultrasonography contains more information than X-ray examination in diagnosing perforation of abdominal hollow viscera. When there is no subdiaphragmatic free air in perforation of abdominal hollow viscera, the ultrasonography is recommended.

关 键 词：肠穿孔 消化性溃疡穿孔 子宫穿孔 超声检查 

分 类 号：R656[医药卫生—外科学]