闭合性穿孔性胃溃疡的术前超声诊断

Preoperative sonographic diagnosis of sealed-off perforated gastric ulcer.

作者信息

Tsai K C, Wang H P, Huang G T, Wang S M

机构信息

Department of Emergency Medicine, College of Medicine, National Taiwan University, Taipei.

出版信息

J Clin Ultrasound. 1998 Jun;26(5):269-71. doi: 10.1002/(sici)1097-0096(199806)26:5<269::aid-jcu8>3.0.co;2-a.

DOI:10.1002/(sici)1097-0096(199806)26:5<269::aid-jcu8>3.0.co;2-a

PMID:9608372

Abstract

Perforated peptic ulcer (PPU) is a common surgical emergency. Early diagnosis and intervention are necessary to reduce the morbidity and mortality. Radiographic or sonographic detection of free air is neither sensitive nor specific for PPU. We report a case of sealed-off PPU with direct sonographic demonstration of the perforation tract within the anterior wall of the gastric antrum. The diagnosis was confirmed at laparotomy.

摘要

穿孔性消化性溃疡（PPU）是一种常见的外科急症。早期诊断和干预对于降低发病率和死亡率至关重要。通过放射学或超声检查发现游离气体对PPU而言既不敏感也不具有特异性。我们报告一例封闭性PPU病例，超声直接显示胃窦前壁内的穿孔道。剖腹手术证实了诊断。