64排螺旋CT在胃肠道穿孔中的诊断价值

摘要

Objective To discuss the value of 64-row spiral CT for the gastrointestinal tract perforation.Methods The imaging examination data of 30 gastrointestinal tract perforation patients proved by surgery or pathology were analyzed retrospectively.Results Of the 30 cases,there were 26 ones of benign perforations including ulcer and inflammation,and 4ones of tumor perforations.There were 9 ones with no positive findings found by the conventional X-ray examination and 1case with no free air by 64-row CT.64-row spiral CT behaved well in the displaying of pneumoperitoneum in case of the gastrointestinal tract perforation,as well in the displaying of the changes such as ascites and bowl wall thickening.Conchusion 64-row spiral CT functions well in the qualitative diagnosis and locating of the gastrointestinal tract perforation,and thus is worth popularizing clinically.%目的:探讨64排螺旋CT在胃肠道穿孔中的诊断及应用价值.方法:回顾性分析30例经手术及病理证实的胃肠道穿孔患者的影像检查资料.结果:30例患者中,溃疡及炎症等良性穿孔26例,肿瘤性穿孔4例.常规X线检查9例未见阳性表现,64排CT检查仅1例未见游离气体,64排螺旋CT在胃肠道穿孔的诊断中气腹显示率高,并且可以显示腹腔内积液及肠壁增厚等改变.结论:64排螺旋CT在胃肠道穿孔的诊断中,准确率高,检查方法简便易行,并且对穿孔的定性及定位诊断有较明显优势,值得临床进一步推广应用.