多排螺旋CT对外伤性急性闭合性肠及肠系膜损伤的手术指导价值

Clinical role of multi-slice spiral CT in performing surgery on traumatic acute closed intestinal and mesenteric injury

目的探讨多排螺旋CT对外伤性急性闭合性肠及肠系膜损伤的手术指导价值。方法回顾性选取2014年6月至2017年6月本院收治的外伤性急性闭合性肠及肠系膜损伤患者50例,所有患者均给予多排螺旋CT检查,以手术结果为对照并作比较。结果 50例患者中,在腹腔及肠管间积液、腹腔游离气体、肠系膜血肿、肠壁增厚、肠管破裂方面,手术结果与CT检查结果差异无统计学意义(P>0.05); CT检查明确诊断外伤性急性闭合性肠及肠系膜损伤48例,漏诊2例,诊断符合率为96.00%。结论多排螺旋CT在诊断外伤性急性闭合性肠及肠系膜损伤中具有良好的效能,可为患者的临床手术治疗提供可靠的病情依据。

Objective To evaluate the guiding value of multi-slice spiral CT in performing surgery on traumatic acute closed intestinal and mesenteric injury. Methods 50 patients with traumatic acute closed intestinal and mesenteric injury during the period from June 2014 to June 2017 were retrospectively selected as the subjects of the study. All patients were subjected to multi-slice spiral CT. The Results of operation and multi-slice spiral CT were compared. Results In the 50 patients, no significant difference between the Results of operation and CT examination in peritoneal and intestinal effusion, abdominal free gas, mesenteric hematoma, intestinal wall thickening and intestinal tube rupture were found ( P >0.05). The CT examination diagnosed 48 cases of traumatic acute closed intestinal and mesenteric injury. Two cases were misdiagnosed. The diagnostic coincidence rate was 96.00%. Conclusions Multi-slice spiral CT has the desirable efficacy in the diagnosis of traumatic acute closed intestinal and mesenteric injury and can provide reliable basis for clinical operation and treatment.