胸部创伤的影像学诊断88例分析

Imaging Diagnosis of Chest Injury: Analysis of 88 Cases

目的探讨胸部创伤的胸片、胸部螺旋CT表现及临床价值。方法回顾性分析88例胸部创伤胸片及(或)胸部螺旋CT表现,对各种影像学表现进行对比、总结。结果肺撕裂伤、湿肺、肋骨骨折、气胸及血气胸、胸腔积液是胸部创伤的主要表现,分别占40.9%、30.7%、73.9%、21.6%、18.2%,膈疝、支气管断裂、肺血肿及肺囊肿是胸部创伤较少见的影像表现,有3例漏诊。结论胸片及胸部螺旋CT扫描是现阶段胸部创伤诊断的主要方法 ,仔细观察图像、短期复查及CT重建技术的使用是减少误、漏诊的较好手段。

Objective To discuss imaging appearance and diagnostic value of the chest picture and CT findings in the chest injury. Methods 88 cases of chest injury were compared,diagnosed and analyzed by imaging appearance of chest radio-graphy and CT chest films. Results It scans showed that contusion of the 1ung was in 40. 9% ,laceration in 30. 7% ,rib fracture,pneumothorax hydmpneumothorax and pleural effusion was 73. 9% ,21. 6% ,18. 2% ,respectively. They are main findings of chest injury. Diaphragmatic hernia,laceration of bronchus,hematoma of lung and lung cyst are seldom findings of chest injury. In that,3 cases were lost in diagnosis. Conclusion Chest radiography and CT chest films are the main methods in the diagnosis of traumatic chest in nowdays. Viewing imaging clearly. Re-examination rencently and reconstructing of CT are the better methods of decreasing misdiagnosis and missed diagnosis.