X线罕少见征象在诊断胃肠道穿孔上的价值

Rare and uncommon signs in X-ray of gastrointestinal perforation

目的探讨X线罕少见征象对胃肠道穿孔的诊断价值。方法回顾性分析经手术证实的15例胃肠道穿孔患者术前X线表现。结果15例中男12例,女3例,年龄11～75岁,临床表现为急腹症症状、体征。X线表现为镰状韧带征2例,肝缘投影征5例,膈下液面征8例。手术证实胃溃疡穿孔3例,十二指肠球部溃疡穿孔10例,回肠末段伤寒穿孔2例。结论腹部X线检查时出现镰状韧带征、肝缘投影征、膈下液面征有助于胃肠道穿孔的诊断。

Objective To investigate the rare and uncommon signs of gastrointestine perforation in X-ray. Methods X-ray findings of 15 patients with gastrointestinal perforation was analyzed retrospectively. Results Of 15 patients, 12 were male and 3 were female. The patients were 11～75 years old. The clinic presented with symptoms of acute abdomen. X- ray showed 2 cases of falciform ligament sign, 5 cases of liver edge silhouette sign and 8 cases of subdiaphragm liquid levels sign. The surgical treatment were performed in all 15 cases. There were 3 cases of perforation in gastric ulcer, 10 cases in duodenal bulb ulcer and 2 cases in intestinun ileum fever. Conclusion The rare and uncommon signs of X-ray, such as falciform ligament sign, liver edge silhouette sign and subdiaphragm liquid levels sign, is very important to diagnosis of gastrointestine perforation.