4排螺旋CT在腹部创伤的诊断(196例分析)

4-Slice Helix CT in the Diagnosis of Abdomen Trauma (196 Cases)

目的:为了对腹部创伤病人的临床治疗提供有用信息,回顾性分析了196例腹部创伤病人的CT表现。方法:全部病例均作了CT扫描,范围从膈顶至肾脏下极。结果:腹部创伤以实质脏器撕裂伤和挫伤为多,其次为包膜下血肿及实质内血肿。腹膜后血肿往往合并于肾脏损伤。腹腔积血主要分布于肝脾周、双侧结肠旁沟、Morison囊。经增强扫描证实肝左动脉及左肾动脉损伤各2例。结论:CT扫描对于确定损伤脏器、腹腔积血量及腹膜后血肿定位极为准确,可为临床诊断和治疗提供重要信息。

Objective： To review the CT findings of 196 patients with abdominal trauma and evaluate its value for clinical treatment.Methods： All cases had undergone CT examinations,the scanning extent from diaphragmatic top to inferior pole of kidney.Results： We found that laceratation and contusion of parenchmal organs were the most and followed by subcapsular hematoma and parenchmal hematoma in the abdominal trauma.Retroperitoneal hematoma often associated with kidney injury.Hemoperitoneum was mainty located in perihepatic-splenic,bilateral paracolic sulcus and Mirison bursa.Left hepatic artery and left renal artery were respect dively injured in two.Conclusion： CT is a valuable diagnostic procedure in detecting organs injured,hemopertoneum and retroperitoneal hematoma.It can offer a important messages for clinical diagnosis and treatment.