CT在肝脏损伤中的诊断应用研究  

Applied research of CT in the diagnosis of liver injury

作　　者：黄海珊[1] 

机构地区：[1]广州市番禺区中医院放射科,广东广州511400

出　　处：《中国当代医药》2013年第15期95-96,共2页China Modern Medicine

摘　　要：目的探讨CT在肝脏损伤中的临床诊断应用价值。方法选取2010年5月～2013年1月来本院就诊治疗的肝损伤患者52例,对所有患者进行CT扫描检查,包括平扫和增强扫描,观察患者肝脏损伤的不同部位及不同类型CT扫描结果的影像学表现。结果所有52例肝损伤患者中经过CT扫描后发现有38例为肝实质损伤,10例为肝包膜血肿,4例为肝门汇管区损伤。增强CT扫描检测的结果没有漏诊和误诊,且影像学图像显示十分清晰;而在未经增强CT扫描时则漏诊了7例腹腔内积血患者,漏诊率为13.5%。结论 CT扫描可以有效提高肝脏损伤的诊断,其中加以增强CT扫描可以有效降低漏诊率,对肝脏损伤的确诊具有重要意义。Objective To discuss the clinical diagnostic value of computed tomography（CT） in liver injury. Methods Fifty-two patients suffered from liver injury and treated in our hospital from May 2010 to January 2013 were selected. CT scans included plain scan and enhanced scan were performed on all the patients, in order to observe imaging manifestations of different parts in liver injury patients and varied types of CT. Results Among 52 liver injury patients, the number of liver parenchyma injury, hepatic capsular hematoma, and portal area of porta hepatis damage after CT plain scan were 38, 10, and 4 cases respectively. There was no missed diagnosis or misdiagnosis in enhanced scan which displayed clear images. But without enhanced scan, 7 out of 52 cases presenting with hematocele in abdominal cavity were missed, accounted for 13.5%. Conclusion CT scan can effectively improve the diagnosis of liver injury, and further application of enhanced CT scan can helpfully reduce the rate of missed diagnosis, which is of great significance for the definite diagnosis of liver injury.

关 键 词：CT扫描 肝脏损伤 诊断 漏诊 

分 类 号：R445[医药卫生—影像医学与核医学]