128层螺旋CT在腹部空腔脏器穿孔定位中的价值

The Value of 128 Slice Spiral CT in Localizing Abdominal Hollow Viscera Perforation

摘要: 目的:探讨128层螺旋CT在腹部空腔器穿孔定位诊断中的价值。方法:回顾性分析60例腹部空腔器穿孔的CT表现,并结合文献总结其CT特征。结果:所有病例均经临床及手术证实。胃、十二指肠破裂穿孔23例,空回肠破裂穿孔13例,结肠破裂穿孔20例,阑尾炎穿孔3例,另1例子宫穿孔。CT表现为腹腔游离气体、局限性腔外小气泡征、腹腔积液、胃肠壁节段性增厚、胃肠道壁周脂肪间筋膜增厚条索状影等。结论:128层螺旋CT对临床提供及时准确诊断,对明确穿孔部位及合并症提供重要的临床价值。

Abstract: Objective:To evaluate the value of 128 slice spiral CT in localizing abdominal hollow viscera perforation.Materials and methods:CT findings of 60 patients with abdominal hollow viscera perforation proved by surgery were retrospectively analyzed.Results:59 cases were located in stomach and intestine(23 gastroduodenal,13 jejunum and ileum,3 appendix,20 colon),and the other 1located in uterine.The main signs of cavity organs perforation included gas accumulation,extra air bubble sign around perforated viscera,ascites,localized thickening of the intestinal walls,and fat stranding.Conclusion:128 slice spiral CT has important clinical application value for timely diagnosising the site and complication of the perforation.