外伤性膈肌破裂的影像诊断  

The Imaging Diagnosis of Traumatic Diaphragm Rupture

作　　者：罗庆华 蒋君军 付传明[2] 

机构地区：[1]广州市中西医结合医院影像科,广州510800 [2]湖北医药学院附属太和医院医学影像中心,湖北十堰442000

出　　处：《CT理论与应用研究（中英文）》2014年第4期631-636,共6页Computerized Tomography Theory and Applications

摘　　要：目的：分析外伤性膈肌破裂的影像表现,为临床手术提供有效影像诊断依据。方法：回顾2011年1月～2013年1月两年中经手术救治的15例膈肌破裂的影像表现。结果：15例患者胸腹的平片检查和腹部螺旋CT检查,均能清楚显示膈肌破裂的位置,破裂口大小,膈疝形成及疝囊内容物等,其中CT能显示膈肌中断、膈肌挛缩等特征性征象。结论：膈肌破裂的螺旋CT表现具有特征性,结合平片,能为临床手术治疗提供有效的依据,有极高的诊断价值。Objective： To analyze imaging manifestation of traumatic diaphragm rupture, and provide effective imaging diagnostic basis for clinical surgery. Methods： The imaging findings of 15 patients with diaphragmatic rupture and surgical treatment from January 2011 to January 2013 were retrospectively reviewed. Results： The results of chest plain film and abdominal spiral CT of 15 patients clearly showed the location of the diaphragm rupture, the size of fracture, the formation of diaphragmatic hernia and the contents of hernia sac, among of results, the CT examination could clearly show the characteristic signs of diaphragmatic muscle interruption and contracture. Conclusion： Spiral CT performance of diaphragm rupture has characteristic, can provide effective basis for clinical surgery in combination with plain radiographs, and has a high diagnostic value in diaphragm rupture.

关 键 词：膈肌破裂 体层摄影术 X线计算机 多平面重组 

分 类 号：R816.4[医药卫生—放射医学] R655.6[医药卫生—临床医学]