摘要
目的探讨超声诊断X线检查阴性十二指肠穿孔诊断价值。方法对31例经手术证实的十二指肠球部溃疡穿孔患者行超声诊断,回顾性分析诊断声像图特点,同时计算超声诊断的检出率。结果 31例十二指肠穿孔患者,有21例十二指肠穿孔的直接征象、16例穿孔位置外侧高回声包块、5例腹腔游离气体、26例腹腔积液及10例腹部包块。综合分析十二指肠穿孔符合率约93.55%。结论超声诊断X线检查阴性十二指肠球部穿孔,诊断率较高,可显示超声十二指肠穿孔的直接征象及间接征象,并能有效的与其它急腹症相鉴别,很好地弥补了传统X线平片诊断的缺陷,值得临床推广及应用。
Objective Ultrasound diagnosis of duodenal perforation diagnosis value of negative.X-ray. Methods By studying the 31 patients in our hospital from 2003 March to 2013 June, who were treated by operation confirmed duo- denal ulcer perforation as research object. They underwent ultrasound diagnosis, retrospective analysis of sonographic fea- tures of diagnosis, detection rate and calculation of ultrasonic diagnosis. Results In the 31 cases of duodenal perforation patients, after diagnosis it is revealed that 21 cases with 16 direct signs, duodenal perforation hole position of outer hypere- choic mass, 5 cases of free intmperitoneal gas, 26 cases of peritoneal effusion and 10 cases of abdominal mass. Compre- hensive analysis showed that the coincidence rate of about 93.55% of duodenal perforation. Conclusion Ultrasonic diag- nostic X-ray negative duodenal perforation, a high diagnostic rate, can show direct signs of ultrasound and duodenal perfo- ration and indirect signs, and can effectively differentiated with other acute abdominal disease, make up the defects of tra- ditional X-ray plain film diagnosis, which is worth the clinical promotion cmd application.
出处
《菏泽医学专科学校学报》
2013年第3期22-23,64,共3页
Journal of Heze Medical College
关键词
超声诊断
X线检查阴性
十二指肠穿孔
诊断
ultrasonic diagnosis
X-ray examination was negative
duodenal perforation^diagnosis
