CT诊断钝性伤致小肠破裂的敏感性研究  

Small Bowel Rupture After Blunt trauma Computed Tomographic Sensitivity

作　　者：韩溟[1] 崔华中[1] 黄铿[1] 蔡新琦[1] 康黎军[1] 蔡桂嘉[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《实用医技杂志》2008年第10期1248-1249,共2页Journal of Practical Medical Techniques

摘　　要：目的:研究CT用于钝性伤致小肠破裂诊断的敏感性。方法:回顾性分析37例腹部钝性伤,且手术确诊为小肠破裂的患者临床资料及CT图像。结果:63.2%患者CT扫描结果表现出明显的肠破裂征象,即出现腹腔肠道外空气57.9%扫描结果提示严重的小肠破裂,即呈现小肠壁不同程度、不均匀增厚,增厚小肠管内有斑点状高密度影和或不伴其他脏器损伤的腹腔内游离液体。结论:CT对诊断钝性伤所致小肠破裂敏感性高。Objective To evaluate the computed tomographic（CT） sensitivity of small bowel rupture after blunt abdominal trauma. Methods Preoperative CT scans were obtained from 37 patients with surgically proven small bowel rupture secondary to blunt abdominal trauma. Results 63.2% patients had findings that were unequivocal for bowel rupture 57.9% patients had findings that were suggestive of severe small bowel injury. Gonciusion CT is a sensitive method for suggesting severe small bowel rupture secondary to blunt abdominal trauma.

关 键 词：钝伤 小肠破裂 CT 

分 类 号：R656.7[医药卫生—外科学]