【摘要】 目的　探讨肝破裂 CT分型与临床治疗的关系。方法　因腹部钝器伤经 CT检查证实为肝破裂 32例 ,1 8例 (56.31 % )行增强扫描。结果　将肝破裂分为三种类型 ,条状裂隙型 1 6例 (50 % ) ,类圆型 1 2例 (37.5% ) ,大块粉碎型 4例 (1 2 .5% )。本组 6例 (1 8.75% )行手术探查 ,2 6例(81 .2 5% )经保守治疗。全部病例均顺利康复。结论　采用简化的肝破裂 CT分型方法 ,简单易行 ,并有助于临床确定治疗方案和降低手术探查率更多还原

【Abstract】 Objective To investigate the significance of CT patterns in the decision of treatment for hepatic injuries. Methods CT was performed in 32 patients suffering from blunt trauma of liver. Contrast enhancement CT was done in 18 cases (56.31%). Results According to the shape of hepatic laceration in this series reviewed retrospectively, the hepatic injuries could be simply classified into 3 patterns, namely streaky (n=16), oval (n=12) and massive destruction (n=4). Surgical explorations were performed in 6 cases (streaky 1, oval 2, massive 3), while conservative treatment was successful in 26 cases (streaky 15, oval 10, massive 1). All 32 cases were recovered eventually. Conclusions Using CT simplified classification of the liver injury combining with patient’s hemodynamic state may be helpful in making the clinical decision of surgical or conservative treatment for the blunt hepatic trauma.更多还原