外伤性肝破裂的CT诊断与手术对照分析

Coomparasion of CT with surgery in diagnosis of traumatic hepatorrhaxis .

目的 评价 CT检查对肝外伤的诊断价值。方法 对 4 3例肝外伤病人的 CT检查与手术所见对比并作回顾性分析。结果 4 3例 CT检查准确检出率 98%。对肝损伤程度、部位、腹腔内积血的判断 ,与手术中所见相符 ,对复合伤的发现及腹膜后血肿的鉴别可提供重要依据。结论 CT对肝损伤的检查 ,不仅为临床提供正确的诊断依据 。

Objective To explore the clinical value of CT in diagnosis of the hepatic trauma.Methods The results of CT examination had been compared with surgical findings in 43 patients of hepatic injuries for retrospective analysis.Results CT examination confirmed in 43 patients with hepatic injury that 3 were subcapsular hemorrhage of liver,2 were hepatic contusion,37 were hepatorrhexis.There are 37 intraperitoneal hemorrhage and 12 were retraperitoneal hematoma all of which was proved by surgery.Only the superficial laceration of liver in 1 case was not detected.The diagnostic accordance rate was 98%.Conclusion CT can accurately determine the position and degree of hepatic injury as well as intraperitoneal hemorrhage,which are important information for clinical diagnosis and surgical intervention.