Diagnostic performance of 64-MDCT for blunt small bowel perforation

被引：17

作者：

Park, Mi-hyun ^{[1
]}

Shin, Byung Seok ^{[2
]}

Namgung, Hwan ^{[3
]}

机构：

[1] Dankook Univ Hosp, Dept Radiol, Chungnam, South Korea

[2] Chungnam Natl Univ Hosp, Dept Radiol, Taejon 301721, South Korea

[3] Dankook Univ Hosp, Dept Surg, Chungnam, South Korea

来源：

CLINICAL IMAGING | 2013年 / 37卷 / 05期

关键词：

Intestine; small; Multidetector computed tomography; Abdominal injuries; Intestinal perforation; 275,557 TRAUMA ADMISSIONS; ABDOMINAL-TRAUMA; MESENTERIC INJURIES; COMPUTED-TOMOGRAPHY; MULTIDETECTOR CT; HOLLOW VISCUS; FREE FLUID; MANAGEMENT; ACCURACY; TRIAL;

D O I：

10.1016/j.clinimag.2013.06.005

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Objective: The objective was to assess the diagnostic performance of 64-multidetector computed tomography (CT) for blunt small bowel perforation (BSBP). Materials and methods: The study included 106 CT examinations of surgically proven blunt bowel and mesentery injuries (78 of BSBP and 28 of non-BSBP). CT diagnosis was based on detection of bowel wall discontinuity or extraluminal gas. Results: Accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of CT diagnosis were 84.0%, 79.5%, 96.4%, 98.4%, and 62.8%, respectively. Bowel wall discontinuity and extraluminal gas were detected on 192% and 74.4% examination, respectively. Conclusion: CT diagnosis of BSBP is highly specific but not sensitive. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：884 / 888

页数：5

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