胃肠道穿孔影像学诊断现状及其研究进展
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摘要
胃肠道穿孔是一种外科急腹症,具有起病急、病情进展迅速等特点,若不及时予以治疗极易诱发继发性腹膜炎、腹腔感染、中毒性休克等严重并发症,危及病患的生命。因此,早诊断、早治疗胃肠道穿孔对于改善患者的临床结局具有至关重要地作用。当前,临床诊断胃肠道穿孔的影像学方法较多,如彩超、X线、CT等。本文主要通过查阅相关文献,就各种影像学检查方法在胃肠道穿孔诊断中的应用现状及研究进展作一综述。
Gastrointestinal perforation is a clinical surgical acute abdomen disease,which has the characteristics of acute onset,rapid progress and so on. If not treated in time,it is easy to induce secondary peritonitis,abdominal infection,toxic shock and other serious complications,endangering the patient's life safety. Therefore,Early diagnosis and early treatment of gastrointestinal perforation is of great importance in improving the clinical outcome of patients. At present,there are many imaging methods for clinical diagnosis of gastrointestinal perforation,such as color Doppler ultrasound,X-ray,CT and so on. This article reviews the application status and research progress of various imaging examination methods in the diagnosis of gastrointestinal perforation by consulting relevant literature.
Gastrointestinal perforation is a clinical surgical acute abdomen disease,which has the characteristics of acute onset,rapid progress and so on. If not treated in time,it is easy to induce secondary peritonitis,abdominal infection,toxic shock and other serious complications,endangering the patient's life safety. Therefore,Early diagnosis and early treatment of gastrointestinal perforation is of great importance in improving the clinical outcome of patients. At present,there are many imaging methods for clinical diagnosis of gastrointestinal perforation,such as color Doppler ultrasound,X-ray,CT and so on. This article reviews the application status and research progress of various imaging examination methods in the diagnosis of gastrointestinal perforation by consulting relevant literature.
引文
[1]刘永杰.经腹腔镜手术、开腹手术诊治胃肠道穿孔的临床疗效对比分析[J].吉林医学,2015,36(10):2060.
[2]胡蓓蓓,金永明.用腹部X线平片检查与CT检查诊断胃肠道穿孔的准确性对比[J].当代医药论丛,2017,15(16):192-193.
[3]张猛.胃肠道穿孔CT与X线平片检查的对比分析[J].辽宁医学院学报,2016,37(2):66-67.
[4]Coppolino FF,Gatta G,Di GG,et al.Gastrointestinal perforation:ultrasonographic diagnosis[J].Critic Ultrasound J,2013,5(S1):54.
[5]侯武德.口服胃肠造影剂超声诊断胃溃疡临床报告[J].中外医学研究,2014,2(13):53-54.
[6]张珠凤,徐明民.上消化道穿孔早期超声动态观察的诊断价值[J].现代实用医学,2017,29(6):753-755.
[7]Bruschi A,Taddeucci A,Noferini L.Estimation of diagnostic levels(DLS)in CT and X-ray procedures:Importance of patient sample[J].Physic Med,2016,32(1):74.
[8]杨智美.多层螺旋CT与DR在急腹症-胃肠道穿孔中诊断价值的对比分析[J].医药与保健,2014,22(1):145.
[9]陈颖瑜,潘爱珍,雍昉,等.多排螺旋CT对胃肠道穿孔的定位与病因诊断价值[J].实用医学杂志,2014,30(24):4000-4002.
[10]Borofsky S,Taffel M,Khati N,et al.The emergency room diagnosis of gastrointestinal tract perforation:the role of CT[J].Emerg Radiol,2015,22(3):315-327.
[2]胡蓓蓓,金永明.用腹部X线平片检查与CT检查诊断胃肠道穿孔的准确性对比[J].当代医药论丛,2017,15(16):192-193.
[3]张猛.胃肠道穿孔CT与X线平片检查的对比分析[J].辽宁医学院学报,2016,37(2):66-67.
[4]Coppolino FF,Gatta G,Di GG,et al.Gastrointestinal perforation:ultrasonographic diagnosis[J].Critic Ultrasound J,2013,5(S1):54.
[5]侯武德.口服胃肠造影剂超声诊断胃溃疡临床报告[J].中外医学研究,2014,2(13):53-54.
[6]张珠凤,徐明民.上消化道穿孔早期超声动态观察的诊断价值[J].现代实用医学,2017,29(6):753-755.
[7]Bruschi A,Taddeucci A,Noferini L.Estimation of diagnostic levels(DLS)in CT and X-ray procedures:Importance of patient sample[J].Physic Med,2016,32(1):74.
[8]杨智美.多层螺旋CT与DR在急腹症-胃肠道穿孔中诊断价值的对比分析[J].医药与保健,2014,22(1):145.
[9]陈颖瑜,潘爱珍,雍昉,等.多排螺旋CT对胃肠道穿孔的定位与病因诊断价值[J].实用医学杂志,2014,30(24):4000-4002.
[10]Borofsky S,Taffel M,Khati N,et al.The emergency room diagnosis of gastrointestinal tract perforation:the role of CT[J].Emerg Radiol,2015,22(3):315-327.