肺撕裂伤的CT诊断  

CT diagnosis of pulmonary laceration

作　　者：胡晓峰[1] 吕维富[1] 潘志立[1] 刘斌[2] 

机构地区：[1]安徽医科大学附属省立医院放射科,合肥230001 [2]安徽医科大学第一附属医院放射科,230022

出　　处：《放射学实践》2010年第5期509-511,共3页Radiologic Practice

摘　　要：目的:探讨CT对肺撕裂伤的诊断价值。方法:回顾性分析32例(68个病灶)肺撕裂伤的CT表现。结果:32例肺撕裂伤患者,共68个病灶,其中58个病灶位于肺表面或紧靠胸膜,10个病灶位于肺的中央,多发15例,单发17例。CT表现为肺气囊肿、气液囊肿、血肿。其中气囊肿9例,气液囊肿18例,肺撕裂伤伴肺内血肿5例。肺撕裂伤周围均有不同程度肺挫伤。CT分型Ⅰ型20例,Ⅱ型5例,Ⅲ型1例,Ⅰ型和Ⅱ型同时存在6例。结论:CT检查是早期发现、诊断、分型及动态观察肺撕裂伤的最佳方法,并可对治疗、转归及预后起指导作用。Objective： To assess the role of CT in the diagnosis of pulmonary laceration.Methods：CT appearances of thirty-two patients with pulmonary laceration were analyzed retrospectively.Results：Of the thirty-two patients（68 lesions in total）,the locations were adjacent to the pleura（58 lesions） and in the central area of lung（10 lesions）.15 patients had multiple lesions and 17 patients had solitary lesion.The CT findings included pneumatocele（9 patients）,fluid within pneumatocele（18 patients） and pulmonary laceration complicated with intrapulmonary hematoma（5 patients）.Various degree of pulmonary contusion around the lung laceration could be assessed.The CT classification of pulmonary laceration included typeⅠ（20 cases）,type Ⅱ（5 cases）,type Ⅲ（1 case） and typeⅠ accompanied with typeⅡ（6 cases）.Conclusion：CT is the technique of choice in early detection,diagnosis and follow-up of lung laceration,which plays important role in the guidance of treatment planning and prognosis predicting.

关 键 词：肺 撕裂伤 体层摄影术 X线计算机 

分 类 号：R655.3[医药卫生—外科学] R816.4[医药卫生—临床医学]