消化道穿孔的多层螺旋CT诊断价值  

MSCT diagnostic value for gastrointestinal perforation

作　　者：华文良[1] 顾文豪[1] 张书茵 

机构地区：[1]江苏省太仓市第一人民医院,江苏太仓215400

出　　处：《转化医学电子杂志》2014年第6期63-64,66,共3页E-Journal of Translational Medicine

摘　　要：目的：总结消化道穿孔的多层螺旋CT表现，分析其诊断价值。方法：选择30例急性胃肠道穿孔患者为研究对象，将其在手术前的多层螺旋CT检查资料和手术结果进行对照。结果：30例患者中胃小弯前壁穿孔8例，十二指肠球部穿孔6例，胃窦前壁穿孔6例，肠穿孔4例，幽门前壁穿孔4例，阑尾穿孔2例。观察结果显示胃肠道穿孔CT直接表现有胃肠道管壁形状不规则，管壁周围脂肪层模糊；间接表现有腹腔内有游离气体离散，还存在有一些其他的并发症。结论：对于胃肠道穿孔后临床症状比较轻，以及X射线透视膈下无游离气体的患者具有一定的诊断价值，并且比其他影像学检查的效果更好。AIM：To conclude multislice CT manifestation of digestive tract perforation,and analyze its value.METHODS：Preoperative MSCT data of 30 cases the sites of gastrointestinal perforation were different,which comprised an anterior wall of gastric antrum （n=8）,anterior wall of pylorus （n=6）,anterior wall of gastric lesser curvature （n=6）,duodenal bulb （n=4）, bowel （n=4）and appendix （n=2）.On MSCT images,the direct signs of acute gastrointestinal perforation were found to be irregular shape of the affected walls and hazy fatty layers in the periphery of perforation,while indirect signs of that included intraabdominal scattered and free gas and a series of the complications secondary to the perforations.CONCLUSION：MSCT is valuable,especially in the diagnosis of posterior gastric wall perforation and superior to other imaging model lities.

关 键 词：CT诊断 胃肠道 穿孔 诊断价值 

分 类 号：R816.5[医药卫生—放射医学]