外伤性腹膜后十二指肠破裂的早期诊断

Early diagnosis of traumatic rupture of retroperitoneal duodenum

目的探讨外伤性腹膜后十二指肠破裂的早期临床诊断技术。方法回顾分析23例经手术证实闭合性腹膜后十二指肠破裂的临床资料。结果入院后1 h经多层螺旋CT确诊15例,2 h经磁共振成像确诊4例,4 h经纤维十二指肠镜检查确诊1例,术前漏诊3例。治愈21例,死亡2例。结论掌握外伤性腹膜后十二指肠破裂的临床特点、及时进行合适的影像学检查,能提高外伤性腹膜后十二指肠破裂的早期诊断率。

Objective To investigate the method of early diagnosing the traumatic rupture of the retroperitoneal duodenum, Methods The clinical data of 23 cases with traumatic rupture of the retroperitoneal duodenum were retrospectively analyzed. Results The traumatic rupture of the retroperitoneal duodenum was diagnosed in 15 cases by multislice spiral computed tomography （MSSCT） in 1 h after admission, in 4 cases by magnetic resonance imaging （MRI） in 2 h after admission, and in 1 case by fabric duodenoscopy in 4 h after admissiorL Three cases were missed corect diagnosis before operation. Of 23 patients, 21 cases were cured, and 2 cases died. Conclusion Early diagnosing the traumatic rupture of the retroperitoneal duodenum can be obtained by catching the clinical characters of traumatic rupture of the retroperitoneal duodenum and performing the proper imaging examinations in time.