肝破裂CT分型的临床意义(附32例报告)  

Clinical Significance of CT patterns of Hepatic Injury (An Analysis of 32 Cases)

作　　者：王和平[1] 钱大椿[1] 沈复兴[2] 韩辉[1] 徐恩酥 丰兰秀 

机构地区：[1]舟山市人民医院放射科,浙江舟山316000 [2]解放军南京总医院,南京210002 [3]舟山市普陀区医院放射科,浙江舟山316000 [4]舟山市第三人民医院放射科,浙江舟山316110

出　　处：《东南国防医药》2003年第3期166-169,共4页Military Medical Journal of Southeast China

摘　　要：目的　探讨肝破裂 CT分型与临床治疗的关系。方法　因腹部钝器伤经 CT检查证实为肝破裂 32例 ,1 8例 (56.31 % )行增强扫描。结果　将肝破裂分为三种类型 ,条状裂隙型 1 6例 (50 % ) ,类圆型 1 2例 (37.5% ) ,大块粉碎型 4例 (1 2 .5% )。本组 6例 (1 8.75% )行手术探查 ,2 6例(81 .2 5% )经保守治疗。全部病例均顺利康复。结论　采用简化的肝破裂 CT分型方法 ,简单易行 。Objective To investigate the significance of CT patterns in the decision of treatment for hepatic injuries. Methods CT was performed in 32 patients suffering from blunt trauma of liver. Contrast enhancement CT was done in 18 cases (56.31%). Results According to the shape of hepatic laceration in this series reviewed retrospectively, the hepatic injuries could be simply classified into 3 patterns, namely streaky (n=16), oval (n=12) and massive destruction (n=4). Surgical explorations were performed in 6 cases (streaky 1, oval 2, massive 3), while conservative treatment was successful in 26 cases (streaky 15, oval 10, massive 1). All 32 cases were recovered eventually. Conclusions Using CT simplified classification of the liver injury combining with patient's hemodynamic state may be helpful in making the clinical decision of surgical or conservative treatment for the blunt hepatic trauma.

关 键 词：肝外伤 CT 

分 类 号：R657.3+2[医药卫生—外科学]