摘要
目的探讨多层螺旋CT哨兵气体征结合胃肠壁水肿对消化道穿孔的定位诊断价值。方法回顾性分析经手术证实的152例消化道穿孔患者的CT影像资料,对哨兵气体征的有无、穿孔部位胃肠壁是否水肿等进行总结分析。结果 152例患者中12例因手术记录没有确切描述穿孔位置而被排除。入选140例患者,其中哨兵气体征阳性132例(94.3%),穿孔部位胃肠壁水肿76例(54.3%),哨兵气体征和胃肠壁水肿并存72例(51.4%),哨兵气体征或胃肠壁水肿两者居一136例(97.1%)。结论 CT图像上哨兵气体征结合胃肠壁水肿对消化道穿孔的定位诊断具有重要价值。
Objective To identify gastrointestinal tract perforation sites with sentinel gas sign and gastrointestinal wall edema by multi-slice spiral CT computed tomography（ MSCT）. Methods The CT features including the sentinel gas sign and edema in the site of perforation in 152 cases of gastrointestinal perforations confirmed by operation were retrospectively analyzed. Results Of the 152 cases,12 cases were excluded because of no descriptive records of the site of perforation in the operative records. 140 cases were included in this study. The sentinel gas sign was positive in 132 cases（ 94.3%）. Gastrointestinal wall edema at the perforation sites was observed in 76 cases（ 54. 3%）. The sentinel gas sign and edema were both positive in 72 cases（ 51. 4%）. Either the sentinel gas sign or edema was positive in 136 cases（ 97. 1%）.Conclusion CT features of the sentinel gas sign and gastrointestinal wall edema are very valuable in the identification of gastrointestinal perforation sites.
出处
《临床放射学杂志》
CSCD
北大核心
2016年第12期1847-1850,共4页
Journal of Clinical Radiology
