摘要
目的探讨螺旋CT在胃肠道损伤诊断中的作用。方法对28例经手术证实胃肠道损伤患者的CT资料进行回顾分析。结果CT发现腹腔游离气体24例,肠壁增厚9例,腹腔积液20例,系膜密度增高5例,反射性肠郁张3例。结论腹腔游离气体是诊断胃肠道穿孔最强有力的指征,而腹腔积液、肠壁增厚和系膜密度增高等征象高度提示胃肠道穿孔。
Objective To discuss the usefulness of spiral CT for diagnosing gastrointestinal tract perforation（GITP）. Methods CT data of 28 patients with surgically proved GITP were analyzed retrospectively. Results Among 28 cases with GITP, conventional CT scans showed intracelical free air in 24, bowel wall thickening in 9, celiac effusion in 20, mesenteric density heighten in 5, and reflex enterostasis-ectasis in 3. Conclusion Intracelical free air is the most strong sign to diagnose GITP, while other signs such as celiac effusion, bowel wall thickening and mesenteric density heighten etc are highly suggestive of GITP.
出处
《实用医学影像杂志》
2009年第4期224-225,233,共3页
Journal of Practical Medical Imaging
关键词
胃肠道
穿孔
体层摄影术
X线计算机
X线平片
Gastrointestinal tract
Perforation
Tomography, X-ray computed
Plain radiography
