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超声诊断十二指肠球部溃疡穿孔
引用本文:贾化平,梁会泽,孙志英,周环宇.超声诊断十二指肠球部溃疡穿孔[J].中国介入影像与治疗学,2010,7(2):110-112.
作者姓名:贾化平  梁会泽  孙志英  周环宇
作者单位:解放军306医院特诊科,北京,100101
摘    要:目的探讨十二指肠球部溃疡穿孔的超声表现特征,评价超声诊断十二指肠球部溃疡穿孔的价值。方法回顾性分析25例手术证实的十二指肠球部溃疡穿孔患者的彩色多普勒声像图特点,分别计算超声对十二指肠溃疡、腹腔游离气体、腹腔积液及局部包块的检出率,并与X线检查结果进行对比。结果25例十二指肠球部溃疡穿孔患者,术前超声检查提示十二指肠球部溃疡21例,腹腔游离气体18例,腹腔积液25例,腹部包块14例。X线平片或透视发现膈下游离气体21例,未能显示腹腔积液及腹部包块,更无法显示十二指肠球部溃疡的直接征象。结论对于十二指肠球部溃疡穿孔,超声在显示腹腔游离气体方面与X线检查相当,还可显示腹腔积液、肿块等X线无法显示的间接征象,尤其是可部分显示十二指肠球部溃疡的直接征象,弥补了X线检查的不足,是十二指肠球部溃疡穿孔的有效检查方法。

关 键 词:超声检查  十二指肠溃疡  穿孔
收稿时间:2009/8/10 0:00:00
修稿时间:9/9/2009 12:00:00 AM

Ultrasonographic diagnosis of duodenal bulb ulcer combined with perforation
JIA Hua-ping,LIANG Hui-ze,SUN Zhi-ying and ZHOU Huan-yu.Ultrasonographic diagnosis of duodenal bulb ulcer combined with perforation[J].Chinese Journal of Interventional Imaging and Therapy,2010,7(2):110-112.
Authors:JIA Hua-ping  LIANG Hui-ze  SUN Zhi-ying and ZHOU Huan-yu
Institution:Department of Special Diagnostics/a>;the 306th Hospital of PLA/a>;Beijing 100101/a>;China
Abstract:Objective To observe ultrasonographic features and the value of ultrasonography in diagnosing duodenal bulb ulcer combined with perforation.Methods The ultrasonographic features of duodenal bulb ulcer combined with perforation were studied retrospectively in 25 patients.The detection rate of duodenal bulb ulcer,peritoneal cavity free air,ascites and abdominal lumps were recorded and compared with those of X-ray examination.Results Color Doppler ultrasound before operation found 21 patients with duodenal bul...
Keywords:Ultrasonography  Duodenal ulcer  Perforation  
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