【摘要】 目的探讨肾上腺损伤的CT表现及其应用价值。方法回顾性分析14例,经临床或随访证实的肾上腺损伤的CT检查资料,其中男性12例,女性2例,14例均行CT常规扫描,其中5例行CT增强扫描,9例CT随访。结果单侧肾上腺损伤13例(右侧12例,左侧1例),双侧肾上腺损伤1例。其CT主要表现为肾上腺区类圆形或卵圆形血肿11例,肾上腺区弥漫出血3例,肾上腺周围脂肪内出血呈条束状或局限性密度增高10例,膈脚增粗2例,单纯肾上腺损伤1例,余均合并其他脏器损伤。CT复查表现为肾上腺血肿密度逐渐降低,肾上腺形态逐渐恢复正常。结论CT检查能显示肾上腺损伤的多种病理改变,对肾上腺损伤的诊断具有重要价值。更多还原

【Abstract】 Objective To discuss the CT manifestations and diagnostic value of adrenal gland injury. Methods CT features of 14 cases (12 of men, 2of women ) with adrenal gland injury proved by clinic diagnosis or following-up were retrospectively reviewed. 5 cases were performed with enhanced CT scans, 9 cases following-up CT scans. Results 13 cases were unilateral (right12, and left1), and 1 cases were bilateral. On CT scans, 11 cases appeared as discrete round or oval masses expanding the adrenal gland, while 3 cases appeared as diffuse irregular hemorrhage obliterating the gland. 10 cases appeared as standingof the peri-adrenal fat caused by blood, and 2 cases appeared as vague margin of the crura of diaphragm. Other organ injurieswere occurred in all the 13 cases. CT following up scanning showed that the density of shadow reduced from margin of hematoma and that the shapes of adrenal gland recovered gradually. Conclusion CT scanning can accurately show various pathologic changes of adrenal gland injury, affording very important values for the diagnosis of adrenal injury.更多还原