钝性肝损伤的MSCT诊断  

MSCT Diagnosis of Blunt Hepatic Trauma

作　　者：刘冬 丁长青[2] 张勇猛 王文生[2] 

机构地区：[1]徐州市中医院放射科,江苏徐州221000 [2]丰县人民医院影像科,江苏丰县221700

出　　处：《系统医学》2017年第12期86-90,共5页Systems Medicine

基　　金："徐州市第一期医学青年后备人才培养工程"资助(徐卫科教2014年3号)

摘　　要：目的探讨MSCT在钝性肝损伤中的诊断价值。方法回顾性分析徐州市中医院及丰县人民医院2014年9月—2016年12月诊治的50例钝性肝创伤患者的临床及影像学资料。所有患者均有明确的腹部钝性创伤史,均于伤后0.5 h^2d内行16或64排CT检查,其中23例患者曾行增强扫描,并按广泛接受的肝创伤Ⅴ级分级方法进行分级。结果肝包膜下血肿16例,肝挫伤23例,肝脏单发或多发撕裂伤26例,肝实质内血肿15例,肝破裂7例,肝门汇管区损伤3例,部分患者有多处多种损伤。肝脏创伤分级:Ⅰ级9例,Ⅱ级11例,Ⅲ级26例,Ⅳ级3例,Ⅴ级1例。结论 MSCT可明确钝性肝损伤的范围及程度,值得应用。Objective This paper tries to investigate the diagnostic value of MSCT in blunt hepatic trauma（BHT）.Methods The clinical and imaging data of 50 patients with BHT in these two hospitals from September 2014 to December 2016 were retrospectively analyzed. All patients had a definite history of blunt abdominal trauma, and underwent 16 or 64 slice CT examination within half an hour to two days, 23 patients underwent enhanced CT scan, and were graded by widely accepted method of V-grade classification of hepatic trauma. Results 16 cases were hepatic subcapsular hematomas, 23 cases were hepatic contusion, 26 cases were solitary or multiple hepatic lacerations, 15 cases were hepatic parenchymal hematoma, 7 cases were hepatic rupture, 3 cases were hepatic portal lesion, and multiple injuries occurred in some patients. Liver trauma grade： Grade Ⅰ had 9 cases, grade II had 11 cases, grade III had26 cases, grade IV had 3 cases, grade V had 1 case. Conclusion MSCT can identify the scope and extent of BHT, so it is worth application.

关 键 词：肝脏 钝性肝损伤 多层螺旋CT 诊断 

分 类 号：R445.3[医药卫生—影像医学与核医学]