摘要
目的探讨CT在胃肠道穿孔定位诊断中的价值。方法对16例成人胃肠道穿孔患者进行回顾性分析。结果16例患者中,胃、十二指肠球部穿孔9例,十二指肠腹膜后段穿孔1例,空回肠穿孔4例,阑尾炎穿孔1例,结肠癌伴穿孔1例。CT表现为:气腹、腹膜腔及腹膜后间隙积液、穿孔部位局限性肠壁增厚和周围脂肪间隙模糊。结论CT不仅能确定有无胃肠道穿孔,而且能初步判断其穿孔部位。其中局限性肠壁增厚及周围脂肪间隙密度增高、邻近腹腔、腹膜后间隙积液为诊断穿孔部位较为特异性的征象。
Objective To discuss CT examination in predicting site of gastrointestinal tract perforation.Methods All CT data of 16 adult patients with gastrointestinal tract perforation were reviewed retrospectively.Results Of the 16 cases,9 had stomach or duodenal bulb perforations,1 had retroperitoneal duodenum perforation,4 had jejunoileum perforations,1 had perforated appendicitis and 1 had perforated colon carcinoma.The prediction of the site of gastrointestinal tract perforation using the following CT findings：Pneumoperitoneum,Segmental bowel-wall thickening,Perivisceral peritoneal cavity or retroperitoneal space fluid and fat stranding.Conclusion CT examination can discover whether there is perforation or not and predict the site of gastrointestinal tract perforations.Segmental bowel-wall thickening,perivisceral peritoneal cavity or retroperitoneal space fluid and fat stranding are significant findings to predict the site of gastrointestinal tract perforations.
出处
《中国实用医药》
2008年第28期21-22,共2页
China Practical Medicine
