76例消化道穿孔的超声诊断临床分析.pdf

《中国医学创新》第 12 卷 第 8 期（总第 326 期）2015 年 3月　　经验交流 Jingyanjiaoliu 76例消化道穿孔的超声诊断临床分析 李彩红① 【摘要】　目的： 方法： 　　 探讨各种典型和不典型临床症状体征消化道穿孔的超声诊断临床分析。 回顾 2005 年 6 月 -2014 年 6 月期间，76 例经手术证实的消化道穿孔患者的超声影像图资料，结合 X 线检查及临床治疗 结果： 进行分析。 76 例消化道穿孔超声诊断与手术后诊断相符，其中经超声定位的 13 例消化道穿孔部位与术 中所见部位相符。65 例具有典型临床症状体征消化道穿孔的 X 线检查结果与超声检查结果一致；11 例不典型 临床症状体征消化道穿孔经超声提示腹腔有少量积气，建议临床加压充气后再复查 X 线出现阳性并获确诊。 结论：消化道穿孔超声诊断符合率高，尤其对早期及不典型临床症状体征的消化道穿孔诊断优于 X 线检查，并 且弥补了 X 线检查无法定位的缺陷；对可疑病例还可指导临床进一步行其他相应检查而确诊，对避免临床的漏 诊、误诊具有重要指导意义。 【关键词】 　　 　消化道穿孔；　超声诊断；　 X 线检查；　加压充气；　 漏诊 　　Clinical Analysis of Ultrasound Diagnosis of 76 Cases of Digestive Tract Perforation/LI Cai-hong.//Medical Innovation of China，2015，12（08）：131-134 　　【Abstract】　Objective：To explore a variety of typical and atypical clinical symptoms and signs of ultrasonic diagnosis of digestive tract perforation clinical analysis.Method：76 cases of patients with digestive tract perforation were reviewed from June 2005 to June 2014， which was confirmed by surgery ultrasound image data， in combination with X-ray and clinical treatment were analyzed. Result：76 cases of digestive tract perforation ultrasound diagnosis were consistent with surgery diagnosis. By the ultrasonic positioning of the 13 cases of digestive tract perforation were consistent with the parts in operation. The x-ray examination of 65 cases with typical clinical symptoms of digestive tract perforation were consistent with the parts of ultrasound diagnosis. 11 cases of atypical clinical symptoms of digestive tract perforation were prompted by ultrasound that there was a small amount of gas in abdominal cavity. Suggested that after clinical pressurized air　and reviewed by the X-ray was positive and confirmed.Conclusion：The digestive tract perforation ultrasound diagnosis coincide