本文選題：螺旋CT + 急性胃腸道穿孔　； 參考：《中國醫(yī)藥指南》2016年32期

【摘要】：目的探討螺旋CT對急性胃腸道穿孔的早期診斷價值。方法回顧性分析2013年11月至2016年2月30例的臨床資料,將其上腹部CT征象與手術(shù)和病理結(jié)果進行比較。結(jié)果 30例均經(jīng)手術(shù)或病理證實,其中胃十二指腸潰瘍11例,闌尾炎穿孔8例,外傷性穿孔7例,惡性腫瘤4例。CT診斷正確率為86.7%(26/30),腹腔游離氣體是主要的CT征象。結(jié)論對于急性胃腸道穿孔,螺旋CT可迅速準(zhǔn)確地反映出腹腔內(nèi)游離氣體的情況,并根據(jù)其分布特點判斷出穿孔部位,診斷的準(zhǔn)確率較高,具有臨床應(yīng)用的價值。
[Abstract]:Objective to evaluate the value of spiral CT in early diagnosis of acute gastrointestinal perforation.Methods the clinical data of 30 cases from November 2013 to February 2016 were retrospectively analyzed and the CT findings of upper abdomen were compared with the results of surgery and pathology.Results all the 30 cases were proved by operation or pathology, including 11 cases of gastroduodenal ulcer, 8 cases of appendicitis perforation, 7 cases of traumatic perforation, 4 cases of malignant tumor.Conclusion for acute gastrointestinal perforation, spiral CT can quickly and accurately reflect the situation of free gas in abdominal cavity, and determine the location of perforation according to its distribution characteristics. The diagnostic accuracy is high and has the value of clinical application.
【作者單位】： 遼寧大連市金州區(qū)第二人民醫(yī)院;
【分類號】：R656.6;R816.5
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本文編號：1760524