多层螺旋CT对不典型消化道穿孔诊断的价值  

The value of multi-slice spiral CT in diagnosis for atypical of digestive tract perforation

作　　者：郑汉朋 周海生 邱乾德[2] 

机构地区：[1]浙江省乐清市人民医院放射科,浙江乐清325600 [2]浙江省温州市第三人民医院影像科,浙江温州325000

出　　处：《医学影像学杂志》2014年第5期764-766,共3页Journal of Medical Imaging

摘　　要：目的探讨多层螺旋CT在诊断不典型消化道穿孔的价值。方法回顾性分析经手术、病理证实的50例不典型消化道穿孔患者的CT表现。结果多层螺旋CT检查50例中48例(96.0%)显示腹腔游离气体和间接征象而明确诊断消化道穿孔,未发现异常2例(4.0%)。提示病因诊断74.0%(37/50),其中提示消化道溃疡性穿孔71.0%(15/21),外伤性穿孔91.7%(11/12),肿瘤性穿孔50.0%(5/10),阑尾炎穿孔86.0%(6/7)。结论多层螺旋CT能较准确诊断不典型消化道穿孔,并对穿孔的病因以及穿孔的位置有提示诊断价值。Objective To investigate the value of multi-slice spiral CT in diagnosis for atypical of digestive tract perfora-tion .Methods CT findings of 50 cases which were proved by operation and pathology with atypical of digestive tract per-foration were retrospectivel analyzed .Results This team included 37 men and 13 women ,aged 22 to 68 years old ,with an average of 41 years old .48 （96 .0% ） cases were gained definite diagnosis for digestive tract perforation ,showed that free gases of peritoneal and the indirect CT imaging features by multi-slice spiral CT examinations ;2 cases had no abnormal finding by multi-slice spiral CT examinations .The 74 .0% （37/50） suggested that etiological diagnosis ,including the 71.0% （15/21） of digestive tract ulcer perforation ,the 91 .7% （11/12） of traumatic perforation ,the 50 .0% （5/10） of neo-plastic perforation ,the 86 .0% （6/7） of appendicitis perforation .Conclusion Multi-slice CT can make accurate diagnosis for atypical of digestive tract perforation and suggest etiological diagnosis .

关 键 词：消化道 穿孔 体层摄影术  X线计算机 

分 类 号：R573[医药卫生—消化系统] R814.42[医药卫生—内科学]