肝、脾、肾等腹部实质脏器创伤的CT表现  

Acute Liver,Spleen,Kidney and Other Abdominal Organ Injuries in Real Terms in The Performance of The CT

作　　者：周天民[1] 黄粉玲 

机构地区：[1]陕西省商洛市中心医院放射科,陕西商洛726000

出　　处：《中国现代医生》2010年第8期65-66,74,共3页China Modern Doctor

摘　　要：目的探讨CT诊断肝、脾、肾损伤的临床价值。方法回顾性分析43例肝、脾、肾损伤患者的CT表现。结果43例患者中,肝脾肾复合损伤1例,均为其包膜下血肿;脾脏包膜下血肿40例,合并脾脏实质血肿5例,脾脏中心破裂5例,边缘撕裂10例;肝包膜下血肿10例,肝实质内血肿3例,肝破裂3例;肾周血肿5例,肾包膜下血肿6例;肾周及肾内血肿2例;同时合并小肠、右侧腰大肌及竖脊肌及脊柱等多发性损伤5例。结论CT检查能清楚表现肝、脾、肾损伤及损伤的范围和程度,为临床诊断治疗提供重要信息。Objective To evaluate the value of CT scan of liver,spleen,kidney injury in the chnical diagnostic. Methods A retrospective analysis of liver,spleen,kidney injuried in the imaging findings of CT in 43 cases. Results 43 cases,spleen combined liver and kidney damage,all the subcapsular hematoma only 1 case; splenic subcapsular hematoma in 40 cases,combined spleen hematoma in 5 cases,rupture of the spleen center in 5 cases,tear of the spleen marginal in 10 cases;hepatic subcapsular hematoma in 10 cases,and 3 cases of inside liver hematoma, 3 cases of hepatorrhexis;perinephric hematoma in 5 cases,renal subcapsular hematoma in 6 cases;kidney hematoma in 2 cases;combined the intestinal, the right side of Psoas muscle,and Erector spinae muscles and rachial and other damages in 5 cases. Conclusion CT examination can provide an accurate assessment of the liver,spleen,kidney damage parameters-damage locations and damage extents,the important information for the clinical diagnosis and treatment.

关 键 词：CT诊断 肝 脾 肾 损伤 

分 类 号：R656[医药卫生—外科学]