螺旋CT 对胃, 十二脂肠穿孔的诊断价值.pdfVIP

·168· 螺旋CT对胃、十二脂肠穿孔的诊断价值 侯茂青，侯志强。曾亚军，彭昊 (湖南省安仁县人民医院放射科．湖南安仁423600) 【摘要】目的探讨螺旋cT对胃、十二指肠穿孔的诊断价值。方法回顾性分析经手术病理证实的56例胃、十二指肠穿 孔患者的临床资料、传统x线改变和cT征象。56例中男46例，女IO例．年龄9—79岁，平均46．2岁；胃溃疡穿孔20例．胃癌穿孔 5例，十二指肠球部溃疡穿孔25例，外伤性胃穿孔2例．外伤性十二指肠穿孔4例。全部病例术前均经常规x线透视、摄片与CT检 查。结果在56例中．常规x线透视与摄片仅发现19例膈下游离气体．而在CT像卜有40例可见腹腔内形态、位置、大小不一的 游离气体影。23例伴腹膜腔积液现象，10例仅见网膜囊内包裹性改变。结论CT能发现常规x线透视及摄片无膈下游离积气时的 胃、十二指肠穿孔，具有早期诊断价值。 【关键词】溃疡穿孔．夕h伤性穿孔；X线透视；摄片；体层摄影术．x线计算机 【中图分类号】R814．42；R656．6【文献标识码】A【文章编号】1009—6817(2009)03-0168—03 of UsefulnessCTfor Hou spiral diagnosinggostroduodenalperforationMaoqing,Hou历由洒吕磊昭Yajun,PengHao．Depaamentof ProvincialAnrenximj ruenxian Radiology,Hunm PeopleHospital,A423600,China [AbstractI Todiscusstheusefulnessof CTfor Objective spiral diagnosing Fifty-six 9—79 and GD which patients(46men。10women；ngedyears；meanage，46．2years)withSUrsicallypathologicallyprovedperforations 20 ulcers duodenalbulb 4traumaticduodenal comprisedgastric gastricc明cer25 ulce啦traumaticgastricperforations，and pedorations underwentconventionaland CTe删训Ⅻbefore CT inall the and radiologicspiral operation．Theclinical,radiologicfindingspatients were 56ca8∞．conventional and showed free retrospectivelyanalyzed．ResultsAmong X-rayfluoroscopyradiographsubdiaphragnmticgas in19ca啷butCT8c蛐showedfree withdifferent andsizein40c雠B．a8soci删free only shape．site intraperitoneal pneumoperitoneum fluidin23c88∞and ofomentalbursain10caged3．Conclu