闭合性十二指肠损伤的螺旋CT诊断价值

The value of spiral CT in diagnosis of blunt duodenum trauma

目的提高螺旋CT平扫对闭合性十二指肠损伤的诊断率。方法对9例经手术、临床证实且术前CT资料完整的闭合性十二指肠损伤患者进行回顾性分析。结果9例闭合性十二指肠损伤CT诊断正确。主要CT表现：十二指肠肠壁增厚，十二指肠肠壁血肿，腹膜后游离气体，腹膜后游离积液，腹膜后血肿等。结论螺旋CT平扫诊断闭合性十二指肠损伤具有重要的临床价值。

Objective To elevate the diagnosis value of spiral CT in blunt duodenum trauma. Methods 9 cases of blunt duodenum trauma proved by operation or clinical were analysed retrospectively. Results 9 cases of blunt duodenum trauma were all diagnosed accurately before operation. The main CT signs were duodenal wall thickening; duodenal wall hematoma; free retroperitonea air;free retroperitonea fluid and retoperitonea hematoma. Conclusion Spiral CT scan have important clinical value in diagnosis of blunt duodenum trauma.