急腹症的影像诊断价值

Imaging Diagnostic Value of Acute Abdominal Pain

目的:分析各种急腹症病人的影像学表现,探讨各种影像学检查方法在急腹症中的诊断价值。材料与方法:收集2014年2月至2016年2月间以急腹症就诊的患者共50例,20例行多层螺旋CT(MSCT)检查,10例行腹部X线平片检查,10例行B超检查,10例行X线平片及CT两项检查。50例病例资料完整,根据这些资料进行回顾性分析。结果:肠梗阻10例,X线表现为肠腔扩张,多发液气平,呈阶梯征;急性阑尾炎13例,CT表现为阑尾肿大,并可见粪石影;胆结石、胰腺炎2例,B超表现为高回声结节伴声影,CT表现为胆囊内致密影,胰腺肿大,胰腺周围渗出;泌尿系结石12例,其中肾结石5例,输尿管结石5例,膀胱结石2例;肠套叠8例,CT表现为弹簧样改变;主动脉夹层3例,CT表现为双腔征;胃溃疡穿孔2例,X线表现为横膈下新月形气体影。结论:影像学检查方法是急腹症的常用诊断技术,具有简单、快速和更准确的特性,不同检查方法适用不同的疾病,为急腹症患者明确病因,为临床治疗提供依据。

Purpose： To analyze imaging findings of all kinds of acute abdomen patients , and to study the value of imaging examination in patients with acute abdomen. Materials and Methods： From February 2014 to February 2016 in treatment of acute abdomen patients with a total of 50 cases, 20 cases of multi-slice spiral CT （MSCT） examination, 10 cases of abdominal X-ray examination, uhrasonography in 10 patients, 10 patients underwent X-ray plain film and CT examination. The data of 50 cases were complete, and the data were analyzed retrospectively. Results： Intestinal obstruction in 10 cases, X-ray images showed intestinal cavity expansion, multiple liquid and gas, and the ladder syndrome; Acute appendicitis in 13 cases, CT images showed swollen appendix and visible fecalith ; Gallstones and pancreatitis in 2 cases, CT findings were dense shadow in gallbladder, enlargement of the pancreas, pancreatic leakage around; Urinary calculi in 12 cases, including kidney stones in 5 cases, ureteral calculi in 5 cases, bladder stones in 2 cases ; Intussusception in 8 cases, CT showed a spring sign ; Aortic dissection in 3 cases, CT showed double cavity syndrome; Gastric ulcer perforation in 2 cases, X-ray manifestations of diaphragm crescent shaped gas shadow. Conclusion： imaging examination method is the diagnosis technology of acute abdo- men, having simple, rapid and accurate characteristics, and it clarify the cause of acute abdomen and provide the basis for clinical treatment.