CT对肠系膜损伤的评价研究  

Evaluation of mesenteric injury with computed tomography

作　　者：唐肇普[1] 钱新初 刘三军 

机构地区：[1]第三军医大学附属大坪医院野战外科研究所影像诊断科,重庆400042 [2]解放军第四五七医院影像诊断科

出　　处：《中华创伤杂志》2004年第12期754-756,共3页Chinese Journal of Trauma

摘　　要：目的　评价腹部CT对肠系膜损伤的诊断价值。　方法　回顾 1 4例经手术证实肠系膜损伤患者临床资料和CT检查结果 ,分析腹膜腔内游离积液、肠系膜脂肪内渗出、肠系膜血肿、造影剂血管外溢和肠壁增厚强化等CT征象 ,并结合手术结果确定CT表现对诊断肠系膜损伤的敏感性。　结果　所有 1 4例患者的CT图像均显示有腹膜腔游离积液或积血和肠系膜脂肪内渗出 ,其中 1 2例可见肠系膜内血肿 ,2例显示有肠壁增厚强化 ,1例可见造影剂血管外溢 ,且CT表现与手术结果一致。　结论　CT对于肠系膜损伤的诊断具有很好的敏感性 ,其CT表现有助于判断损伤的部位。Objective To evaluate the value of the abdominal computed tomography (CT) in diagnosing mesenteric injury. Methods Fourteen patients with mesenteric injury proven by surgery were selected as the study objects. A retrospective analysis was done on the clinical medical records and CT examination results including free intra-peritoneal fluid collection, infiltration of mesenteric fat, intra-mesenteric hematoma, extravasation of contrast media and thickening and enhancement of bowel wall. Meanwhile, in combination with surgical findings, the sensitivity of CT in diagnosis of mesenteric injury was determined. Results CT images showed free peritoneal fluid or hemoperitoneum and infiltration of mesenteric fat in all 14 patients, of which 12 had intra-mesenteric hematoma, two showed thickening and enhancement of bowel wall and one did extravasation of contrast material. CT findings accorded with surgical results. Conclusion CT is sensitive in diagnosis of mesenteric injury and helpful for identification of the injury site.

关 键 词：肠系膜损伤 诊断 CT表现 手术结果 血肿 造影剂 患者 结论 强化 评价研究 

分 类 号：R816.5[医药卫生—放射医学]