苗立英,张武,刘普玲,初珂.消化道穿孔超声检查临床应用的评价[J].中国医学影像技术,1998,14(4):280~281
消化道穿孔超声检查临床应用的评价
The Evaluation of Ultrasonogrophy in the Diagnosis of Digestive Tract perforation
投稿时间:1997-11-20  
DOI:
中文关键词:  消化道穿孔  超声  X-ray
英文关键词:Digestive tract perforation Ultrasonography  X ray
基金项目:
作者单位
苗立英 北京医科大学第三临床医院超声科 
张武 北京医科大学第三临床医院超声科 
刘普玲 北京医科大学第三临床医院超声科 
初珂 北京医科大学第三临床医院超声科 
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中文摘要:
      目的:为了评价普通超声在诊断消化道穿孔中的价值。方法:119例经手术证实的消化道穿孔病人, 术前行X线检查, 68例术前行普通超声检查。将所有的检查结果进行回顾性评价及对比分析。结果:行X线检查的119例病人, 91例为阳性, 符合率为75%(91/119), 假阴性28例, 占25%(28/119).行超声检查的68例中阳性者占78%(55/68).其中10例超声发现膈下气体而X线为阴性。结论:普通超声在诊断消化道穿孔中可弥补X线的不足, 在急腹症的鉴别诊断中具有重要地位。
英文摘要:
      Objective:The purpose of is study was to evaluate the value of ultrasonography in the diagnosis of digestive tract perforation.Method:119 patients with digestive tract perforation verified by operation were examined by X ray.Of these 119 patients,68 were examined by ultrasonography.All these examinations were retrospectively evaluated and comparably analysed.Result:119 patients were examined by X ray.Of these 119 patients,91 were positive,and the positive value was 75%(91/119);28 were pseudo negative (25%,28/119).68 patients were examined by ultrasonography and the positive value was 78%(55/68).Of the 55 patients who were exactly diagnosed by ultrasonography,10 were not to be diagnosed by x ray.Conclusion:Ultrasonography can complement the defect of x ray in the diagnosis of digestive tract perforation,and is very useful in the differential diagnosis of digestive tract perforation.
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