螺旋CT扫描在消化性胃十二指肠溃疡穿孔的诊断价值

发布时间：2018-03-09 01:24

本文选题：消化性溃疡　切入点：螺旋CT　出处：《世界最新医学信息文摘》2016年93期 　论文类型：期刊论文

【摘要】：目的:探析消化性胃十二指肠溃疡穿孔患者用螺旋CT扫描方式进行诊断的临床效果。方法:选取本院2015-2016年期间收治确诊的胃十二指肠消化性溃疡穿孔成年患者24例相关临床资料为本文分析来源,所有患者均接受螺旋CT扫描,对患者临床数据用回顾性反馈进行分析并归纳该诊断方式对病情的临床应用价值。结果:在本文接受诊断患者中有4例为胃溃疡穿孔,20例为十二指肠球部、降段溃疡穿孔;在螺旋CT扫描中有16例患者出现剑突下隐窝积气,14例患者表现出肝门肝圆韧带间隙积气,4例患者表现出腹膜后间隙积气,16例患者表现单侧/双侧胸腔积液,10例患者表现为腹腔积液。结论:对胃十二指肠消化性溃疡穿孔患者在选择诊断方式时,相对于X线方式,螺旋CT检查手段对于是否存在溃疡穿孔敏感度更高,在定位以及鉴别诊断方面应用价值更为突出,能为医生制定治疗方案提供合理科学的参考数据。
[Abstract]:Objective: to investigate the clinical effect of helical CT scan in diagnosis of peptic peptic ulcer perforation. Methods: 24 adult patients with peptic ulcer perforation diagnosed in our hospital from 2015 to 2016 were selected. Cases of clinical data were analyzed in this paper. All patients underwent spiral CT scan. The clinical data of the patients were analyzed by retrospective feedback and the clinical application value of the diagnostic method was summarized. Results: among the patients, 4 cases were gastric ulcer perforation, 20 cases were duodenal bulbar perforation, and 20 cases were descending ulcer perforation. In spiral CT scan, there were 16 cases of infractory recess, 14 cases of porta hepatic tegmental ligament, 4 cases of retroperitoneal space, 16 cases of unilateral / bilateral pleural effusion, 10 cases of pleural effusion. Conclusion: in patients with gastroduodenal peptic ulcer perforation, Compared with X-ray method, spiral CT is more sensitive to the existence of ulcer perforation and has more prominent value in localization and differential diagnosis. It can provide reasonable and scientific reference data for doctors to make treatment plan.
【作者单位】：内蒙古呼伦贝尔扎兰屯中蒙医院CT室;
【分类号】：R816.5;R656.6

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