摘要
目的:探讨腹部平扫CT在闭合性外伤性肠破裂早期诊断中的价值。方法:回顾性分析124例闭合性外伤性肠破裂患者的临床及腹部平扫CT表现。结果:124例外伤性肠破裂患者中腹腔积气57例(膈下、肠管及肠系膜间、腹膜后间隙),腹腔积液74例(肠管及其系膜间隙、腹腔间隙),肠梗阻23例,合并胸腹部脏器损伤61例。124例患者均接受手术治疗,预后良好者91例(73.39%),预后不良者33例(26.61%),其中死亡5例。结论:应重视腹部CT平扫在急诊隐匿性外伤性肠破裂患者早期诊断中的作用,腹腔穿刺术、X线、B超等检查可早期做出诊断,尽早手术可明显提高患者的治愈率。
Objective.. To evaluate the abdominal plain CT in the diagnosis of closed traumatic intestinal rupture. Methods.. 124 patients with closed traumatic intestinal rupture admitted in our hospital from October 2007 to May 2014 undergone abdominal plain CT examination were analyzed. Results： CT examinations showed pneumoperitoneum in 57 cases （under the diaphragm, between the bowel and mesentery, retroperitoneal space）, peritoneal effusion in 74 cases （between the bowel and mesenterium, and peritoneal space） ,intestinal obstruction in 23 cases, and 61 cases with thoracic and abdomi- nal organ injuries. All the patients received surgical operation, with 91 cases had good outcome （73.39 % ）, 33 cases had poor prognosis （26.61%） including 5 cases of death. Conclusion：Attention should be paid to abdominal plain CT scan in the diagnosis of occult traumatic intestinal rupture. When combined with abdominal puncture, X-ray and B-mode ultrasonic examination,this technique can lead to an early diagnosis,and thus improve outcome of the patients.
出处
《放射学实践》
北大核心
2015年第5期571-574,共4页
Radiologic Practice
关键词
外伤性肠破裂
并发症
体层摄影术
X线计算机
Traumatic intestinal rupture
Complications
Tomography, X-ray computed
作者简介
夏文骞（1963-），男，山东青岛人，副主任医师，主要从事胸腹部CT诊断工作。
