超声诊断胃肠穿孔的临床价值

Efficiency of ultrasornics in the diagnosis of gastrointestinal perforation

摘要: 目的: 探讨胃肠穿孔的超声表现及诊断价值。方法: 回顾性分析经手术证实的32例胃肠穿孔的声像图表现,并与X线检查结果进行比较。结果: 胃肠穿孔的主要超声征像包括腹腔游离气体、积液、包裹性包块,显示率分别为84%(27/32)、93%(30/32)、68%(22/32)。X线诊断胃肠穿孔的主要依据是膈下游离气体,敏感性为75%(24/32),不能发现腹腔积液、包块。结论: 超声根据腹腔游离气体、积液、包块等声像能为胃肠穿孔患者提供快速可靠的临床诊断依据,应作为首选检查方法。

Abstract: Objective: To evaluate the clinical value of sonographic diagnosis for gastrointestinal perforation.Methods: The manifestation of the sonography and the radiology of 32 patients operated on for gastrointestinal perforation was compared retrospectively.Results: The sonographic findings of the gastrointestinal perforation included free air,fluid and abnormal echo mass in the abdomen and the sensitivity rates were 84%(27/32),93%(30/32) and 68%(22/32),respectively.The diagnostic basis of gastrointestinal perforation by X-ray is free subdiaphragm air,with a sensitivity of 75%(24/32),but the mass and fluid were unable to be displayed.Conclusions: Detection of free air,fluid and irregular shaped mass in the abdomen by sonography can provide reliable attestation to the clinical diagnosis of gastrointestinal perforation.