胰腺及肾上腺闭合性损伤的CT诊断

CT Diagnosis of Pancreas and Adrenal Gland Closed Injuries

目的对胰腺及肾上腺闭合性损伤的CT诊断结果的探究。方法回顾分析该院在2014年1月—2016年4月的33例已被确诊为胰腺及肾上腺闭合性损伤患者的CT报告和资料,来研究患者的胰腺损伤和肾上腺损伤的程度以及部位。结果 26例患者发生胰腺损伤,其中包括了18例患者发生颈体部位断裂(男性患者13例,女性患者5例),3例患者发生体尾交界部位断裂(全部为男性患者),2例患者发生胰头胰体部位断裂(1例男性患者,1例女性患者),3例患者发现为胰腺挫伤(男性患者2例,女性患者1例),患者的主要病征是胰腺发生血肿和外伤性胰腺炎改变;还有7例患者发现为肾上腺损伤(男性患者5例,女性患者2例),都是右肾上腺损伤,从CT上可以看出肾上腺区域发生血肿症状,脂肪间隙模糊不清。结论通过CT,我们可以准确并清晰地发现胰腺和肾上腺损伤的程度和各种病征,对于胰腺断裂等情节严重的患者,在临床上治疗时,CT对于观察、诊断、治疗都提供了有力的依据。

Objective To study the CT diagnosis results of pancreas and adrenal gland closed injuries. Methods The CT reports and data of 33 cases of patients with pancreas and adrenal gland closed injuries in our hospital from January2014 to April 2016 were reviewed to research the degree and site of pancreas and adrenal gland closed injuries. Results 26 cases had the pancreas injuries, including 18 cases with neck site fracture（13 males and 5 females）, 3 cases with body and tail junction site fracture（male patients）, 2 cases with pancreatic head and pancreas body fracture（male patients）, 2 cases with pancreatic head and pancreas body fracture（1 male patient and 1 female patient）, and 3 cases with pancreatic contusion（2 male patients and 1 female patient）, and the major disease was hematoma of the pancreas and changes of traumatic pancreatitis, 7 cases had the adrenal injury（5 male patients and 2 female patients）, and all of them had right adrenal gland injury, and the CT showed that the hematoma symptoms occurred in the adrenal gland region and the fat space was obscure. Conclusion The CT can accurately and clearly discover the degrees of pancreas and adrenal gland closed injuries and various diseases, and the CT provides powerful basis for the observation, diagnosis and treatment of patients with severe pancreas fractures.