多层螺旋CT对胃肠穿孔患者腹腔少量游离气体的诊断

【摘要】 目的探讨16层螺旋CT对急性胃肠穿孔患者少量腹腔游离气体的诊断价值。方法回顾性分析13例经手术证实胃肠道穿孔急腹症患者所致的腹腔游离气体的CT表现。结果 13例急腹症患者中胃穿孔3例,十二指肠球部穿孔7例,空肠穿孔2例,结肠穿孔1例。13例患者中X线平片检查1例可见膈下游离气体,其余阴影;多层螺旋CT检查,均可见腹腔内不同部位的多少不等的游离气体影。结论多层螺旋CT相较于X线平片对少量腹腔游离气体能更及时、准确地做出定性诊断。更多还原

【Abstract】 Objective To evaluate the value of MDCT in diagnosis of pneumoperitoneum in the patients suffering from gastric-intestinal perforation. Methods Clinical data and medical imaging of 13 patient with gastric-intestinal perforation proved surgically were reviewed retrospectively. Results In 13 cases of acute abdomen,there were 3 cases of gastric perforation,7 cases of perforation of duodenal bulb ,2 cases of jejunal perforation,1 case of colonic perforation.Pneumoperitoneum found in 1 case examined with X-ray plain film,the rest of 13 cases were negative;pneumoperitoneum found in all cases examined with MDCT. Conclusion Qualltative diagnosis of pneumoperitoneum examined with MDCT can be accurately made in time compared with X-ray plain film.更多还原