64层螺旋CT在腹部闭合性外伤所致肠及肠系膜损伤的应用价值

The Application Vaiue Of 64 Multi-Slice Ct In Blunt Abdominal Trauma Caused By Intestinal And Mesenteric Injury

目的:探讨64层螺旋CT对腹部闭合性外伤致肠及肠系膜损伤的CT应用及诊断优势。方法:回顾分析我院32例闭合性腹部外伤患者导致肠及肠系膜损伤的CT表现,分析其不同部位损伤的CT表现。结果:肠管外游离气体﹑肠系膜增厚与血肿﹑肠壁血肿﹑肠管连续性中断﹑腹腔内游离积液等是肠管及肠系膜损伤的主要CT征象,十二指肠﹑空回肠﹑结肠及肠系膜不同部位CT表现有所不同,应用不同窗宽技术对病变的检出具有重要意义。结论:CT扫描对闭合性腹部外伤所致肠及肠系膜损伤具有可靠的定位及诊断依据,对临床早诊治具有重要指导作用。

Objective：To evaluate the application and advantages of the 64-multi-slice computed tomography in the diagnosis of blunt bowel and mesenteric trauma.Methods：We retrospectively analyzed the CT features of our 32 patients with bowel and mesenteric closed injuries including their CT features of different parts of the injuries.Results：The intestinal free air ﹑ thickness and hematoma of mesentery ﹑ hematoma of bowel wall ﹑ intestinal continuity interruption and intra-abdominal free fluid are the main CT features of intestinal and mesenteric injury.Duodenum,jejunum and ileum,colon and mesentery have different performance.It has important value to apply different window width technology in the detection of lesions.Conclusion：CT scanning has a positioning and reliable basis for the diagnosis of blunt bowel and mesenteric trauma.It plays an important role in guiding the clinical early diagnosis and treatment.