摘要
目的:分析多层螺旋CT局限性小气泡征在消化道穿孔患者穿孔病灶定位诊断中的应用价值。材料与方法:对我院收治的经手术病理证实为消化道穿孔的45例患者的多层螺旋CT扫描诊断结果进行回顾性分析,以患者机体十二指肠屈氏韧带作为分界线,将机体消化道分为上消化道和下消化道两个部分,观察患者影像学资料中局限性小气泡征的形态、大小以及与穿孔病灶的相关性,并与手术病理结果进行比较。结果:手术病理结果证实,45例患者中,19例患者为上消化道穿孔,25例患者为下消化道穿孔,局限性小气泡征对上消化道穿孔患者的定位准确率为63.2%,低于对下消化道穿孔患者的定位的92.3%(P<0.05)。结论:多层螺旋CT局限性小气泡征在下消化道穿孔中的定位诊断应用价值更为显著。
Purpose： To analyze the limitations of multislice spiral CT in small bubbles intrinsic value of gastrointestinal perforation in patients with perforation lesion localization diagnosis. Materials and Methods： The hospital,confirmed by pathology multislice spiral CT scan diagnosis of gastrointestinal perforation in 45 patients were retrospectively analyzed patient body duodenum flexor ligament as a dividing line,the body＇s digestive tract divided into two parts of the digestive tract and lower gastrointestinal observed in patients with radiographic signs of the limitations of small bubbles form,size,and perforated lesions correlation with pathologic findings were compared. Results： The pathology results confirmed in 45 patients,19 patients upper gastrointestinal perforation,25 patients of lower gastrointestinal perforation,the limitations of small bubbles levy on gastrointestinal perforation patient positioning accuracy was 63. 2%,lower 92. 3% in the positioning of the lower gastrointestinal perforation patient（ P 0. 05）. Conclusion： Spiral CT diagnosis of intrinsic limitations of small bubbles value of gastrointestinal perforation in the next more significant.
出处
《现代医用影像学》
2016年第4期674-675,共2页
Modern Medical Imageology
关键词
消化道穿孔
多层螺旋CT
局限性小气泡征
定位诊断价值
gastrointestinal perforation
multislice spiral CT
intrinsic limitations of small bubbles
diagnostic value proposition
