摘要
目的 探讨超声在诊断胃十二肠穿孔的临床价值。方法 对 4 3例经外科手术证实的胃十二指肠穿孔 ,术前均行 X-线检查 ,33例术前行超声检查 ,对结果进行回顾性分析。结果 4 3例患者行 X-线检查 ,31例为阳性 ,符合率为 72 % (34/ 4 3) ,假阳性 12例 ,占 2 8% (12 / 4 3) ,行超声检查的 33例患者 ,2 7例为阳性 ,符合率 82 % (2 7/ 33) ,其中 4例 X-线为阴性的超声发现膈下有游离气体。结论 超声相对 X-线在诊断胃十二指肠穿孔的优势在于实时动态观察 ,并能检出其他征象 ,为穿孔及其他急腹症的诊断开辟了新的途径。
Objective The aim of this study was to assess the clinical value of ultrasonography in the diagnosis of gastrointestinal perforation.Methods A total of 43 patients with gastrointestinal perforation verified by operation were examined with X-ray.There were 33 patients examined with ultrasonography.Then all of these examinations were evaluated and comparatively analysed retrospectively.Results Of these 43 patients examined with X-ray,31 were positively diagnosed with the positive value of 72%(31/43);12 were pseudo-negative with the pseudo-negative value of 28%(12/43).Thirty-three patients were examined with ultrasonography,27 were positive with the value of 82%(27/33).Floating gas on X-ray was not found in 4 cases,but was exactly found on ultrasonography in all the 27 patients.Conclusions Ultrasonography can not only be a real-time and dynamic imaging,but can also discover other unusual signs.It is a new auspicated way for diagnosing gastrointestinal perforation and other acute colics.
出处
《中国超声诊断杂志》
2005年第3期181-183,共3页
Chinese Journal of Ultrasound Diagnosis
