腹部闭合性外伤致肠及肠系膜损伤的CT检查影像学特征  

Imaging features of CT examination of intestinal and mesenteric injury caused by closed abdominal trauma

作　　者：张宇 张家胜 马建中 丁锐 ZHANG Yu;ZHANG Jiasheng;MA Jianzhong;DING Rui(Department of Emergency Surgery, Lu' an Hospital Affiliated to Anhui Medical University, Lu ' an,Anhui 237005, China)

机构地区：[1]安徽医科大学附属六安医院急诊外科

出　　处：《徐州医科大学学报》2019年第9期682-684,共3页Journal of Xuzhou Medical University

摘　　要：目的研究腹部闭合性外伤致肠及肠系膜损伤CT检查的影像学特征及其诊断价值。方法选取2016年11月-2017年11月收治的40例疑似腹部闭合性外伤致肠及肠系膜损伤患者实施CT检查,通过CT检查的影像结果及患者的临床症状,对患者进行诊断判定,将患者的CT检查诊断结果与病理检查结果进行比对,同时研究分析不同类型患者的CT检查影像学特征。结果CT检査诊断的符合率为97.50%,漏诊率为2.50%,CT检查与病理检查结果差异无统计学意义(P>0.05);CT检査呈现的影像学特征主要有腹腔游离气体、腹腔与肠间隙积血及积液、肠壁增厚水肿及肠壁血肿及肠系膜水肿。结论CT检查在腹部闭合性外伤致肠及肠系膜损伤诊断中具有较好的诊断价值,能够有力提升患者的诊断符合率,不同类型损伤患者具有较为显著的CT影像学特征。Objective To explore the diagnostic value of CT examination of intestinal and mesenteric injury caused by closed abdominal trauma and the imaging features of CT examination. Methods A total of 40 cases of suspected blunt abdominal trauma caused by intestinal and mesenteric injury from November 2016 to November 2017 were selected in this study. All the patients underwent CT examination. Through the imaging results of CT examination and clinical symptoms, the patients were diagnosed and judged. The results of CT examination and pathological examination were compared. At the same time, the imaging features of different types of patients were studied and analyzed. Results The coincidence rate of CT diagnosis was 97.50% and the missed diagnosis rate was 2.50%. There was no significant difference between CT examination and pathological examin砒ion (P >0. 05). The main imaging features of CT examination were abdominal free gas, hemorrhage and effusion between abdominal and intestinal spaces, intestinal wall thickening and edema, intestinal wall hematoma and mesenteric edema. Conclusions CT examination has a good diagnostic value in the diagnosis of intestinal and mesenteric injury caused by closed abdominal trauma, and can effectively improve the diagnostic coincidence rate of patients. Patients with different types of injury have more significant CT imaging features.

关 键 词：腹部闭合性外伤 肠损伤 肠系膜损伤 CT检查 影像学特征 

分 类 号：R574[医药卫生—消化系统]