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。
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 Qualitative diagnosis of pneumoperitoneum examined with MDCT can be accurately made in time compared with X-ray plain film.
出处
《当代医学》
2013年第24期62-63,共2页
Contemporary Medicine
关键词
多层螺旋CT
急腹症
游离气体
Multidetector computed tomography
Acute abdomen
Pneumoperitoneum
