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腹部闭合性损伤致胃肠道破裂的平扫CT诊断

CT Scan Diagnosis in Gastrointestinal Tract Rupture after Blunt Abdominal Trauma

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【作者】 郑元超姜永生夏焱张彪

【Author】 ZHENG Yuan-chao *, JIANG Yong-sheng, XIA Yan, ZHANG Biao. *Department of Surgery, Baogang Hospital, Shanghai The Second Medical University, Shanghai 201900, China

【机构】 上海第二医科大学附属宝钢医院普外科上海第二医科大学附属宝钢医院放射科上海第二医科大学附属宝钢医院普外科 上海201900上海201900上海201900

【摘要】 目的 探讨平扫CT在诊断腹部闭合性损伤致胃肠道破裂中的作用。方法 对我院收治的 2 0例手术证实为外伤性胃肠道破裂患者的CT片及其病史行回顾性分析。至少两位以上放射科医师一起阅片。结果  2 0例闭合性损伤胃肠道破裂患者行平扫CT发现腹腔积液 18例、气腹 18例、胃内容物外漏 2例、肠壁改变 14例、肠系膜改变 15例。结论 平扫CT可以准确、快速、无创伤地诊断闭合性损伤致胃肠道破裂

【Abstract】 Objective To evaluate the role of CT in diagnosis of the gastrointestinal tract rupture after blunt abdominal trauma . Methods Twenty preoperative CT scans and clini cal data were obtained in 20 patients who subsequently had bowel ruptures verifi ed surgically. CT findings were analyzed retrospectively in these patients. Retr ospective interpretation was made by consensus of at least two radiologists. Results Twenty cases of CT scan showed intraper itoneal fluid (18 cases), pneumoperitoneum (18 cases), extravasations of gastro intestinal tract contents (2 cases), bowel wall findings (14 cases) and mesenter ic injury (15 cases). Conclusion CT is fast, sensitive and noninvasi ve in diagnosis of the gastrointestinal tract rupture after blunt abdominal tra uma.

  • 【文献出处】 中国普外基础与临床杂志 ,Chinese Journal of Bases and Clinics in General Surgery , 编辑部邮箱 ,2003年05期
  • 【分类号】R816.5
  • 【被引频次】11
  • 【下载频次】50
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