Lippolis P V, Ghiselli G, Sidoti F, Goletti O
Cattedra e Scuola di Specializzazione in Chirurgia d'Urgenza e Pronto Soccorso, Universitã degli Studi di Pisa.
Radiol Med. 1992 Dec;84(6):767-9.
Ultrasonography (US) is routinely used as a diagnostic approach in the surgical acute abdomen, even though its major limitation is the demonstration of the hollow viscus. In the present paper, the results obtained with US in 12 cases of gastric or duodenal perforations are reported. The diagnosis, of gastroduodenal perforation was correctly made in 58% of cases by means of US; in 91.7% of cases, at least one US finding correlable with gastroduodenal perforation was observed. Even though US exhibits poorer diagnostic sensitivity than conventional radiology, it can be considered a valuable diagnostic tool in the early diagnosis of gastroduodenal perforation especially when radiographic findings are negative.
超声检查（US）通常被用作外科急腹症的诊断方法，尽管其主要局限性在于对中空脏器的显示。在本文中，报告了12例胃或十二指肠穿孔患者的超声检查结果。通过超声检查，58%的病例正确诊断出胃十二指肠穿孔；在91.7%的病例中，观察到至少一项与胃十二指肠穿孔相关的超声检查结果。尽管超声检查的诊断敏感性低于传统放射学检查，但在胃十二指肠穿孔的早期诊断中，尤其是当放射学检查结果为阴性时，它可被视为一种有价值的诊断工具。
