螺旋CT诊断钝性肠管和肠系膜损伤的临床价值  

Clinical Value of Helical Computed Tomography Blunt Bowel and Mesentery Injuries

作　　者：段早辉 刘潇 王建辉 王娟娟 舒晓敏 徐志涛 

机构地区：[1]武警江西省总队医院放射科,江西南昌330030

出　　处：《实用放射学杂志》2010年第3期372-375,391,共5页Journal of Practical Radiology

摘　　要：目的探讨螺旋CT对急性钝性大小肠和肠系膜损伤的诊断价值。方法2004一02—2008-05，急性腹部钝性损伤螺旋CT扫描300例。CT诊断大小肠或／和肠系膜损伤18例，其中16例剖腹手术，2例临床随访。CT表现与手术探查对照分析。结果肠管和系膜损伤的CT各种表现的诊断准确率分别为：肠壁增厚63％，肠壁破裂100％，肠系膜血肿71％，肠系膜血管中断100％，系膜束带征56％及气腹或肠壁或系膜间积气50％。结论综合分析肠和肠系膜损伤的直接和间接CT征象，可以较准确地评估肠和肠系膜损伤的程度及损伤部位。Objective To evaluate the value of helical CT in diagnosis of bowel and/or mesenteric injuries in blunt abdominal trau ma. Methods 300 patients suspected with blunt abdominal trauma underwent spiral CT examinations from 2004--02 to 2008--05 ,of them, 18 cases diagnosed with bowel and/or mesenteric injuries by CT, of 18 cases, 16 cases underwent operation therapy and 2 cases followed--up clinically. CT features were analysed comparatively with that of operations. Results The accuracy in diagnosing the bowel and/or mesenteric injuries in h/unt abdominal trauma with CT different findings included： bowel wall thickening in 63%, the bowel wall rupture in 100 a//00, mesenteric hematoma in 71 ~, termination of mesenteric vessels in 100 %,isolated mesenteric streaking in 56% and pneumoperitoneum,accumulation of air in bowel walls or mesenteric spaces in 50%. Conclusion By synthetic analyzing the helical CT findings can assess more accurately the degree and position of bowel and/or mesenteric injuries in blunt abdominal trauma.

关 键 词：腹部 肠道 肠系膜 创伤 体层摄影术 X线计算机 

分 类 号：R572.3[医药卫生—消化系统] R814.42[医药卫生—内科学]