平片对腹部空腔脏器穿孔的诊断价值

Value of the plain film in the diagnosis of abdominal hollow organs perforation

目的探讨腹部平片对腹部空腔脏器穿孔的诊断价值。方法回顾性分析81例气腹患者的X线表现,所有患者均摄有站立及仰卧腹部平片,部分患者依病情需要同时摄有水平侧位及侧卧前后位片。结果胃溃疡穿孔34例,胃癌1例,十二指球部溃疡穿孔16例,外伤性小肠穿孔9例,美克尔憩室穿孔1例,外伤性乙状结肠下段穿孔2例,坏死性肠炎穿孔1例,阑尾化脓穿孔7例,胎粪性腹膜炎穿孔3例,原性腹膜炎6例(手术探查未发现腹部空腔脏器穿孔),结肠癌穿孔1例。结论腹腔内游离气影大多为胃穿孔或损伤所致,腹腔内游离气影是诊断腹部空腔脏器穿孔的重要X线征象。

Objective To investigate the clinical value of plain film in the diagnosis of abdominal hollow organs perforation.Methods The X-ray findings of 81 patients of pneumoperitoneum were retrospectively analyzed.All the patients captured standing and supine abdominal plain film,while some patients also had the level of lateral and lateral anteroposterior film.Results Results showed gastric ulcer perforation in 34 cases,gastric cancer in 1 case,duodenal ulcer perforation in 16 cases,traumatic perforation of small intestine in 9 cases,necrotizing enterocolitis perforation in 1 case,perforated appendix purulent in 7 cases,perforation of meconium peritonitis in 3 cases,and primary peritonitis in 6 cases.Conclusion Intraperitoneal free gas shadow is mostly caused by gastric perforation or damage,which is an important X-ray finding in the diagnosis of abdominal hollow organs.