摘要
目的探讨超声诊断在消化道穿孔的应用及临床价值。方法回顾42例经手术及病理证实的消化道穿孔患者,术前超声检查主要发现腹腔游离气体和积液,并与X线结果对比分析。结果本组证实的42例消化道穿孔中,超声检查阳性率95.2%(40/42),其中腹腔游离气体25例,腹腔游离不纯积液10例,大网膜异常积聚及腹部肿块3例,穿孔破口2例;X线检查发现膈下及两侧腹游离气体30例,阳性率为71.4%(30/42)。结论超声诊断消化道穿孔的多种超声表现,拓宽了临床视野,有助于提高早期诊断准确性,对急腹症的鉴别诊断及治疗方案选择具有重要意义。
Objective To study the application and clinical value of ultrasonic diagnosis in the digestive tract perforation. Meth- ods Retrospective 42 cases confirmed by surgery and pathology in patients with digestive tract perforation, preoperative ultrasound mainly found abdominal free gas and fluid, and is compared with the results of X-ray analysis. Results Confirm the 42 cases of digestive tract perforation, ultrasound were 95.2% （40/42）, of which 25 cases of abdominal free gas, 10 cases of abdominal free impure effusion, greater omentum abnormal accumulation and abdominal mass in 3 cases, perforation crevasse in 2 cases; X-ray revealed diaphragmatic and 30 cases of free gas on both sides of the abdomen under the positive rate was 71.4% （30/42）. Con- elusion A variety of sonographic findings of ultrasound diagnosis of digestive tract perforation, broaden the clinical field of vision, help to improve the early diagnosis accuracy, selection for differential diagnosis and treatment of acute abdominal pain is of great significance.
出处
《中国卫生产业》
2013年第33期4-5,共2页
China Health Industry
关键词
超声诊断
消化道穿孔
急腹症
Ultrasound diagnosis
The digestive tract perforation
Acute abdominal pain
