多排螺旋CT对腹腔游离气体病因学的诊断价值  

Value of Multi-slice Spiral CT in Diagnosis of Free Intraperitoneal Air Etiology

作　　者：孙浩群 丁长青[2] 代兰兰 刘文[2] 

机构地区：[1]江苏省丰县人民医院普外科,江苏丰县221700 [2]江苏省丰县人民医院影像科,江苏丰县221700

出　　处：《中外医疗》2017年第12期188-191,共4页China & Foreign Medical Treatment

基　　金：徐州市第一期医学青年后备人才培养工程"资助(徐卫科教2014年3号)

摘　　要：目的探讨多排螺旋CT对腹腔游离气体病因学的诊断价值。方法回顾性分析该院2016年1—7月收治的29例临床随访证实的腹腔游离气体患者的临床及影像学资料。结果 29例患者胃溃疡穿孔7例,十二指肠溃疡穿孔13例、异物穿孔1例,胆囊炎伴穿孔2例,胃癌穿孔1例,腹部手术术后3例(胃癌术后1例,胆囊术后1例,直肠癌术后1例),肝脓肿破裂1例,重症胰腺炎假性囊肿形成伴脓肿破裂1例。所有患者腹部CT均见腹膜内/腹膜外游离气体影,穿孔者多可见肠壁/管壁不连续及局部炎症改变。结论结合病史,多层螺旋CT有助于腹腔游离气体进行定性及定位诊断。Objective To discuss the value of multi-slice spiral CT in diagnosis of free intraperitoneal air etiology. Methods The clinical and imaging data of 29 cases of patients with free intraperitoneal air admitted and treated in our hospital from January 2016 to July 2016 were retrospectively analyzed. Results Of 29 cases of patients, there were 7 cases with Peptic ulcer with perforation, 13 cases with perforated duodenal bulb ulcer, 1 case with foreign body perforation, 2 cases with cholecystitis with perforation, 1 case with perforation of gastric carcinoma, 3 cases after the abdominal operation(1case after the gastric carcinoma, 1 case after the gallbladder operation and 1 case after the rectal carcinoma), 1 case with hepatapostema, 1 case with severe pancreatic pseudocyst with abscess rupture, and the abdominal CT showed that all patients had the free intraperitoneal or extraperitoneal air, and most perforation persons had the intestinal wall/tube wall discontinuity and local inflammatory change. Conclusion Multi-slice spiral CT contributes to the qualitative and positioning diagnosis of free intraperitoneal air combined with the history disease.

关 键 词：腹腔游离气体 消化道穿孔 脓肿破裂 多排螺旋CT 

分 类 号：R656[医药卫生—外科学]