上消化道穿孔的MDCT定位诊断价值  

The Diagnostic Value of MDCT for Upper Gastrointestinal Perforation

作　　者：胡建燕 HU Jian-yan(Department of Radiology,Jingde People's Hospital,Xuancheng 242600,Anhui Province,China)

机构地区：[1]安徽省旌德县人民医院影像科,安徽宣城242600

出　　处：《罕少疾病杂志》2023年第1期67-68,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的评价多层螺旋CT(MDCT)检查在诊断上消化道穿孔部位中的应用价值。方法搜集我院外科手术确诊的12例胃肠穿孔病人,年龄26~81岁,平均59.9岁,术前先采用SIEMENS Emotion 16排或GE Optima 64排进行螺旋CT检查,10例扫描范围从横膈到盆腔底部,2例只行上腹部平扫。且判定穿孔位置,和临床诊断结果实行比照。结果CT检查根据穿孔位置周围炎、积液、游离气体、腹膜炎和消化道管壁增厚对胃肠穿孔的定位诊断和临床手术结果相符。7例发生十二指肠溃疡穿孔(其中4例为穿孔性十二指肠前壁溃疡),胃窦穿孔5例。结论MDCT对上消化道穿孔的术前定位诊断具有重要价值,在临床制定手术方案及判断病情方面具有较高的指导意义。Objective To evaluate the value of Multi-slice Spiral CT(MDCT)in the diagnosis of perforation of upper digestive tract.Methods Twelve patients with gastrointestinal perforation diagnosed by surgery in our hospital,aged 26~81years,with an average age of 59.9 years,were examined by SIEMENS Emotion 16-slice or GE Optima 64-slice spiral CT before surgery.10 cases were scanned from the diaphragm to the bottom of the pelvic cavity,while 2 cases only scanned the upper abdomen.The perforation site was determined and compared with the clinical diagnosis results.Results The location diagnosis of gastrointestinal perforation based on the inflammation around the perforation site,effusion,free gas,peritonitis and thickening of the gastrointestinal wall was consistent with the clinical operation results on the CT examination.Perforation of duodenal ulcer occurred in 7 cases(of which 4 cases were perforated anterior duodenal ulcer),there were 5 cases had perforation of gastric antrum.Conclusion MDCT is of great value for the preoperative diagnosis of upper gastrointestinal perforation,and it has great significance in the clinical development of surgical plans and judgment of the condition.

关 键 词：螺旋CT 上消化道穿孔 诊断 

分 类 号：R656[医药卫生—外科学]