肠及肠系膜钝性损伤的CT表现  

CT features of bowel and mesenteric injuries

作　　者：廖荣信[1] 张亚林[1] 邹高伟[1] 周理超[1] 瞿中威[1] 

机构地区：[1]湖南省长沙市中心医院放射科,湖南长沙410004

出　　处：《中国中西医结合影像学杂志》2017年第6期661-662,666,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

基　　金：湖南省科技厅社会发展支撑计划基金项目(2014FJ6014)

摘　　要：目的 :探讨肠及肠系膜钝性损伤的CT表现。方法 :回顾性分析65例肠和肠系膜损伤患者的CT资料。结果 :65例中肠管破裂17例,表现为腹腔积液和积气;单纯肠系膜挫伤5例,表现为挫伤区域肠系膜脂肪模糊、水肿或血肿形成;肠和肠系膜并存损伤43例。10例合并肝、脾、肾等实质脏器中的1个或多个脏器损伤。结论:CT可作为肠及肠系膜钝性损伤的主要检查手段,腹腔积气和肠系膜血肿分别对肠管破裂和肠系膜挫伤的诊断具有较高特异性,而腹腔积液和肠管水肿对肠管损伤具有较高的敏感性。Objective：To study the CT features of the bowel and mesenteric injuries due to blunt abdominal trauma. Methods：The CT features of bowel and mesenteric injury in 65 cases were retrospectively analyzed. Results：In 65 cases,there were 17 cases with bowel rupture whose abnormal imaging manifestations included abdominal cavity effusion and pneumatosis;5 cases with simple mesenteric injury,the abnormal imaging manifestations were mesenteric fuzzy,edema,or hematoma;43 cases with bowel and mesenteric injury. There were 10 cases with one or more viscera damage of liver,spleen,or kidney. Conclusions：CT scan can be used as the principal methods for diagnosis of the bowel and mesenteric injuries due to blunt abdominal trauma.There are higher specificity that pneumoperitoneum and mesenteric hematoma separately to the diagnosis of intestinal rupture and mesentery trauma,and ascites and intestinal edema has a high sensitivity to the intestines injury.

关 键 词：肠 肠系膜 损伤 体层摄影术 X线计算机 

分 类 号：R657.2[医药卫生—外科学] R816.5[医药卫生—临床医学]