摘要
目的 :探讨胃肠穿孔的超声表现及诊断价值。方法 :回顾性分析经手术证实的 32例胃肠穿孔的声像图表现 ,并与X线检查结果进行比较。结果 :胃肠穿孔的主要超声征像包括腹腔游离气体、积液、包裹性包块 ,显示率分别为 84 % (2 7/32 )、93%(30 /32 )、6 8% (2 2 /32 )。X线诊断胃肠穿孔的主要依据是膈下游离气体 ,敏感性为 75 % (2 4 /32 ) ,不能发现腹腔积液、包块。结论 :超声根据腹腔游离气体、积液、包块等声像能为胃肠穿孔患者提供快速可靠的临床诊断依据 。
Objective:To evaluate the clinical value of sonographic diagnosis for gastrointestinal perforation.Methods:The manifestation of the sonography and the radiology of 32 patients operated on for gastrointestinal perforation was compared retrospectively.Results:The sonographic findings of the gastrointestinal perforation included free air,fluid and abnormal echo mass in the abdomen and the sensitivity rates were 84%(27/32),93%(30/32) and 68%(22/32),respectively.The diagnostic basis of gastrointestinal perforation by X-ray is free subdiaphragm air,with a sensitivity of 75%(24/32),but the mass and fluid were unable to be displayed.Conclusions:Detection of free air,fluid and irregular shaped mass in the abdomen by sonography can provide reliable attestation to the clinical diagnosis of gastrointestinal perforation.
出处
《蚌埠医学院学报》
CAS
2004年第6期562-564,共3页
Journal of Bengbu Medical College
关键词
超声诊断
穿孔
胃肠系统
ultrasonography
perforation
gastrointestina system
