多层螺旋CT对胃肠道穿孔的诊断价值  

Multislice spiral CT in diagnosis of gastrointestinal perforation

作　　者：郭兵文[1] 李安松[1] 何发清[1] 

机构地区：[1]射洪县人民医院CT室,四川射洪629200

出　　处：《西部医学》2014年第7期926-929,共4页Medical Journal of West China

摘　　要：目的探讨多层螺旋CT(MSCT)对胃肠道穿孔的诊断价值。方法收集32例经临床手术证实的胃肠道穿孔患者临床及MSCT资料,总结胃肠道穿孔的MSCT检出率及MSCT表现特征。结果在32例患者中,胃窦穿孔8例,十二指肠球部前壁穿孔12例,空肠3例,回肠6例,阑尾2例,乙状结肠1例。32例中腹腔游离气体31例,腹腔积液包括穿孔处周围局限性积液21例,胃肠壁局限节段性或肿块状增厚12例,网膜或系膜脂肪密度增高17例。32例中MSCT检出31例,检出率为96.9%。结论腹腔游离气体是诊断胃肠道穿孔特征性表现,MSCT在胃肠道穿孔诊断中对发现腹腔游离气体、积液及其他相关征象具有极高的诊断价值。Objective To explore the clinical value of multislice spiral CT on diagnosis of gastrointestinal perforation.Methods Clinical and MSCT data of 32 patients with gastrointestinal perforation were analyzed.The MSCT gastrointestinal perforation detection rate and MSCT performance characteristics were observed.Results There were 8 cases with gastric perforation,12 cases with anterior duodenal perforation,3 cases with jejunum,6 cases with ileum,2 cases with appendicitis and 1 case with sigmoid.There were 31 cases with free intraperitoneal air and 21cases with seroperitoneum.By MSCT detected 31 cases,the detection rate was 96.9%.Conclusion Intraperitoneal free gas is characteristic diagnosis of gastrointestinal perforation.It is valuable of abdominal free gas,fluid and other related signs by multilayer spiral CT on diagnosis of gastrointestinal perforation.

关 键 词：胃肠道穿孔 气腹 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学]