MSCT在胃肠道穿孔中的临床诊断价值  

Value of multi-slice CT on the clinical diagnosis of gastrointestinal tract perforation

作　　者：魏忠荣[1] 韩丹[2] 陆建环[1] 江少青[1] 

机构地区：[1]云南省玉溪市人民医院CT室,玉溪653100 [2]昆明医科大学第一附属医院影像中心

出　　处：《临床医学》2015年第2期6-8,共3页Clinical Medicine

摘　　要：目的探讨多层螺旋CT(MSCT)在胃肠道穿孔诊断中的应用价值。方法回顾分析58例行急诊腹部CT平扫并经过手术证实为胃肠道穿孔患者的临床资料、影像表现;其中术前44例行X线检查,6例为外伤患者。结果 58例患者中,良性溃疡及炎性穿孔共49例,胃癌穿孔3例,外伤所致肠穿孔6例。腹部X线平片检查7例阴性(气腹检出率为84.09%);CT检查2例阴性(气腹检出率96.55%),而且可显示腹腔积液量、腹膜炎症范围及实质脏器有无联合损伤等改变。结论 MSCT便捷、易行,能准确显示腹腔游离气体,对胃肠道穿孔的定位及定性诊断具有明显优势,将会逐渐成为该类急腹症的首选检查方法。Objective To investigate the value of multi-slice CT on the diagnosis of gastrointestinal tract perforation.Methods The clinical data and imaging findings of 58 cases underwent emergency abdominal CT scan and were confirmed with gastrointestinal perforation by operation were retrospectively analyzed. Among them,44 cases had abdominal X-ray,and 6 cases had trauma. Results Among the 58 cases,there were 49 cases of benign ulcer and inflammatory perforation,3 cases of gastric tumor peforration,6 cases caused by trauma bowel perforation. There were 7 patients with negative results by abdominal X-ray（ The positive rate of pneumoperitoneum was 84. 09%）; There were 2 patients with negative results by CT examination（ the rate was 96. 55%）,and it could display peritoneal effusion quantity,scope of peritoneal inflammation,with or not solid organ composite damage,etc. Conclusion MSCT is convenient,easy,can display the abdominal cavity free gas accurately. There is obvious advantages in location and qualitative diagnosis of gastrointestinal tract perforation,it will gradually become a principal method of these acute abdominal disease in the future.

关 键 词：多层螺旋CT 胃肠道穿孔 价值 

分 类 号：R656[医药卫生—外科学] R816.5[医药卫生—临床医学]