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目的 :分析先天性胃壁肌层缺损并胃穿孔的X线表现及探讨其早期诊断方法。材料与方法 :回顾性分析经手术病理证实的 7例先天性胃壁肌层缺损并胃穿孔病例的X线表现。结果 :7例卧位腹部平片可见腹胀 ,气体增多 ,呈“足球征” ;5例立位腹部平片均有膈下游离气体、膈肌升高、横贯全腹的气液平面、胃泡消失等像征 ,其中 4例有肝上缘轮廓显示 ;3例水平侧位见腹壁下大量游离气体及显示肠管前缘轮廓 ,且见长液气平面。结论 :先天性胃壁肌层缺损并胃穿孔有特征性的X线表现 ,早期诊断及时手术对本病的预后非常重要。
OBJECTIVE: To analyze the X-ray findings of gastric myometrial defect and gastric perforation and to explore its early diagnosis. Materials and Methods: X-ray findings of 7 patients with congenital gastric muscular layer defects and gastric perforation confirmed by surgery and pathology were retrospectively analyzed. Results: Abdominal distension was found in 7 cases of abdominal distension, gas increased, showing “football sign”; 5 cases of abdominal plain radiographs had free gas under the diaphragm, diaphragmatic muscle increased, transversal pneumoperitoneum disappeared And other signs, including 4 cases showed the upper edge of the liver outline; 3 cases of horizontal position to see a large number of free gas under the abdominal wall and show the outline of the bowel anterior margin, and the long liquid-gas plane. Conclusion: Congenital gastric myometrial defect and gastric perforation have characteristic X-ray findings. Early diagnosis and prompt operation of the prognosis of the disease is very important.