【摘要】 目的评价CT检查在腹部外伤所导致的胰腺损伤诊断中的临床价值。方法回顾性分析21例均经手术证实的闭全性腹部外伤所导致的胰腺损伤的CT征象,男14例、女7例。结果胰腺挫伤10例,胰腺完全性断裂6例,胰腺不完全性断裂1例,胰腺出血4例。胰腺挫伤的直接征象为胰腺出血、水肿和胰腺增粗;胰腺断裂的直接征象为胰腺外形不连续、平扫或增强扫描垂直胰腺长轴的低密度、线条状影。胰腺损伤的间接征象为胰周积液、网膜囊积血、积液、肾前筋膜增厚和腹腔积液等。结论CT检查对胰腺损伤的诊断价值较大,尤其CT增强扫描比平扫更能明确胰腺损伤的程度。更多还原

【Abstract】 Objective to evaluate the clinical value of CT by analyzing the CT manifestations of the pancreatic injury induced by blunt abdominal trauma.Method The CT findings of 21 patients (male 14 cases,female 7 cases)with surgical proved pancreatic injury induced by blunt abdominal trauma were reviewed retrospectively.Results There were 10 patients with pancreatic contusion found,6 cases with pancrease broken completely,1 case with pancrease broken incompletely and 4 cases with hemorrhage were also found.The direct CT signs of pancreatic contusion were hemorrhage,edema and thickening of pancrease;and the broken of pancrease shape,lower density line across the pancrease vertically on pre-and post-CT imaging were the direct signs of pancrease broken.The indirect CT signs of pancreatic contusion included peripancreatic effusion,hematocele and effusion of omental bursa, prerenal fascia thickening and effusion of abdominal cavity.Conclusion The diagnostic value of the CT imaging is demonstrated for pancreatic injury,and broken pancreatic could be confirmed with contrast-enhanced CT better than non-enhanced CT.更多还原