多排螺旋CT在治疗不典型消化道穿孔中的应用

Application of multi-dector CT in the treatment of atypical digestive tract perforation

目的探讨不典型消化道穿孔CT表现特征,提高消化道穿孔的CT诊断准确率,为临床治疗及预后提供依据。方法回顾性分析我院7例经手术证实的消化道穿孔患者CT表现。结果 4例患者显示腹腔游离气体,胆道积气及脓腔积气各1例;1例显示腹腔积液;所有患者均有不同程度腹膜炎表现。结论多排螺旋CT腹部扫描结合临床资料,对消化道穿孔的发病部位、原因及范围的判断有着一定的优势。

Objective To explore the CT features of atypical digestive tract perforation, and to improve CT diagnostic accuracy, so as to provide evidence for the treatment and prognosis of the disease. Methods A retrospective analysis was made on the CT manifestation of the 7 cases of gastrointestinal perforation confirmed by surgery in our hospital. Results Such were the results ： 4 cases were shown to have abdominal free gas, and 1 case of biliary pneumatosis, another case of pus cavity pneumatosis and still another case of abdominal dropsy. All the patients were shown to have peritonitis to various extents. Conclusion Multi-detector CT （MDCT） scanning combined with other clinical data has a certain advantage in identifying the location, cause and extent of the digestive tract perforation.