胃肠道破裂、穿孔的影像学检查对比分析研究

Comparative Analysis of Imaging Examination of Gastrointestinal Tract Rupture and Perforation

摘要: 目的：探讨胃肠道破裂、穿孔术前使用腹部平片、超声、CT影像学检查的诊断价值。方法：回顾性分析2017年1月至2020年12月我院105例胃肠道破裂穿孔行手术治疗的患者，所有患者在手术前均使用腹部平片、超声和CT进行常规检查。按照术前影像学检查结果及术中探查结果对比研究分析，对腹部平片、超声和CT检查对胃肠道破裂、穿孔诊断符合率临床指标进行对比研究。结果：腹部平片检查的诊断符合率为77.1%，超声检查的诊断符合率为75.2%，CT检查的诊断符合率为96.2%。超声与腹部平片检查的诊断符合率相当，差异无统计学意义(P > 0.05)，CT检查的诊断符合率明显高于超声和腹部平片(P < 0.05)。结论：CT检查对于胃肠道破裂、穿孔的诊断，比腹部平片和超声检查更加准确，更具有优势。

Abstract: Objective: To investigate the diagnostic value of abdominal plain film, ultrasound and CT imaging examination before gastrointestinal tract rupture and perforation. Method: From January 2017 to December 2020, 105 patients with gastroenteric perforation undergoing surgical treatment in our hospital were retrospectively analyzed. All patients were examined with abdominal plain film, ultrasound and CT before operation. According to the results of preoperative imaging examination and intraoperative exploration, the diagnostic coincidence rate of abdominal plain film, ultrasound and CT for gastrointestinal tract rupture and perforation was compared. Result: The diagnostic coincidence rate of plain film, ultrasound and CT was 77.1%, 75.2% and 96.2%, respectively. The diagnostic coincidence rate of ultrasound and abdominal plain film was similar, and the difference was not statistically significant (P > 0.05). The diagnostic coincidence rate of CT was significantly higher than that of ultrasound and abdominal plain film (P < 0.05). Conclusion: CT examination for the diagnosis of gastrointestinal tract rupture and perforation is more accurate and has more advantages than abdominal plain film and ultrasound examination.