钝性外伤性小肠穿孔的CT诊断价值  

Diagnosis Value of CT in Small Bowel Perforation Due to Blunt Trauma

作　　者：柳黔忠 何永松 黄惠松 

机构地区：[1]佛山市顺德区均安医院放射科,广东佛山528329

出　　处：《实用临床医学（江西）》2014年第3期76-77,80,F0004,共4页Practical Clinical Medicine

摘　　要：目的评价CT对钝性外伤性小肠穿孔的诊断价值。方法对15例经手术证实的钝性外伤性小肠穿孔的CT表现进行回顾性分析。结果 15例患者中11例CT上腹部见游离气体,术前正确诊断小肠穿孔11例,诊断正确率为73.3%;4例漏诊患者因腹腔内均未见明确游离气体,且由于合并其他损伤,忽略了小肠周围渗出情况,导致漏诊。结论 CT对于钝性外伤性小肠穿孔具有较高的术前诊断价值。Objective To evaluate the diagnose value of CT in small bowel perforation due to blunt trauma. Methods CT findings of 15 patients with surgery-confirmed small bowel perforation following blunt trauma were analyzed retrospectively. Results Among the 15 patients, CT showed free air in upper abdomen in 11, and small bowel perforation was preoperatively diagnosed in 11 （73.3%）. No intraperitoneal free air was found in the 4 patients with a missed diagnosis, which was caused by ignoring the seepage around small intestine due to other damage.Conclusion CT is a valuable technique for the diagnosis of small bowel perforation due to blunt trauma.

关 键 词：钝性外伤性小肠穿孔 气腹 CT 

分 类 号：R445[医药卫生—影像医学与核医学] R656.7[医药卫生—诊断学]