64层螺旋CT对消化道穿孔部位的诊断价值  

The Diagnostic Value of the 64-slice Spiral CT on the Position of Gastrointestinal Perforation

作　　者：张旭辉[1] 陈晓荣[1] 张珊珊[1] 

机构地区：[1]湖北医药学院附属东风医院影像科,湖北十堰442008

出　　处：《中国CT和MRI杂志》2015年第9期103-105,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨64层螺旋CT对消化道穿孔部位的诊断价值。方法回顾分析经手术证实的75例消化道穿孔患者的CT表现。结果 75例患者中,胃穿孔35例,小肠穿孔31例,6例为阑尾炎穿孔,2例结肠癌穿孔,1例结肠憩室穿孔。主要64层螺旋CT征象:腹腔游离气体量及发布,腹腔积液,腹膜炎改变。结论 64层螺旋CT对消化道穿孔的准确率较高,通过腹腔气体、腹腔积液、腹膜炎改变对推断消化道穿孔部位具有较高诊断价值。Objective To inquire into the diagnostic value of the 64-slice spiral CT on the position of gastrointestinal perforation. Methods CT manifestation of 75 cases with gastrointestinal perforation proved by surgery were retrospectively analyzed. Results 75 cases included 35 gastric perforation, 31 intestinal perforation, 6 perforated appendicitis, 2 colon cancer perforation, 1 colonic diverticulum perforation. The main 64-slice spiral CT signs were as follows：the volume and distribution of intra-abdominal free gas, peritoneal effusion and peritonitis. Conclusion It was 64-slice spiral CT that owed a higher accuracy rate in diagnosing gastrointestinal perforation, the charges of intra-abdominal free gas, peritoneal effusion and peritonitis were of great value on deducing the position of gastrointestinal perforation as well.

关 键 词：穿孔 消化道 64层螺旋CT 

分 类 号：R573.2[医药卫生—消化系统]