摘要
目的探讨超声检查在胃肠穿孔的表现及其临床诊断价值。方法对笔者所在医院48例经手术证实的胃肠穿孔患者的术前检查进行回顾性的评价和分析。结果 48例患者超声检查,穿孔2例(4.2%),膈下腹腔游离气体35例(72.9%),腹腔积液42例(87.5%),腹部包块45例(93.8%);X线检查发现膈下游离气体42例(87.5%),发现胃肠道扩张、充气、存在液平面22例(45.8%)。结论在腹腔游离气体的检出率上超声检查不如X线检查,但超声可以检出X线无法检出的少量游离气体,可以对穿孔进行定位,可以发现腹腔内是否存在异常包块和腹腔积液。超声检查与X线检查相结合,可以为临床急腹症提供快速、准确、可靠的诊断依据。
Objective To explore the ultrasound examination in gastrointestinal perforation of ultrasound findings and clinical diagnosis value.Methods The 48 cases confirmed by operation of gastric bowel perforation of the patients were retrospectively preoperative examination of evaluation and analysis.Results 48 patients ultrasound,direct see perforation in 2 cases（4.2%）,the combination of abdominal free gas 35 cases（72.9%）,abdominal cavity effusion 42 cases（87.5%）,abdomen bag piece in 45 cases（93.8%）.X-ray revealed diaphragmatic next free gas 42 cases（87.5%）,found that the gastrointestinal tract expansion,inflatable,existing liquid plane 22 patients（45.8%）.Conclusion In the abdominal cavity detection of the free gas on ultrasound examination inferior to X-ray,but ultrasound can be detected by the X-ray can＇t detected a few free gas,can locate perforation,can be found in the abdominal cavity is wrapped piece and abnormal in abdominal cavity effusion.Ultrasound examination and X-ray,combining can provide for clinical acute abdominal disease rapid,accurate and reliable diagnosis.
出处
《中外医学研究》
2012年第5期6-7,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
胃肠穿孔
超声
X线
Gastrointestinal perforation
Ultrasound
X-ray
