摘要
目的:提高实质性腹腔脏器钝性损伤CT诊断的正确率并探讨其指导临床选择治疗方法的价值。方法:抽取本院近2年内的58例实质性腹腔脏器钝性损伤的病例进行回顾性分析,脾脏30例,肾脏23例,肝脏8例,有8例为脏器复合损伤,其中4例行增强扫描。结果:CT扫描清晰显示了实质性腹腔脏器钝性损伤的实质内血肿、包膜下血肿、破裂口及腹腔内积血情况,脾脏11例手术治疗,19例保守治疗;肾脏5例手术治疗,18例保守治疗;肝脏2例手术治疗,6例保守治疗。结论:CT检查是实质性腹腔脏器钝性损伤的有效诊断方法之一,并能对损伤的程度作出正确评估,为临床治疗方法的选择提供重要依据。
Purpose：To improve the CT diagnostic accuracy of substantiality abdomen viscera blunt trauma and to provide gist that were chosen for remedial plan in clinic.Methods： 58 pantients with substantiality abdomen viscera blunt injure, including 30 cases for Splenic trauma, 23 cases for nephritic trauma and 8 cases for hepatic trauma, were scaned and analysed in our hospital in recent two years. 8 cases for compositly viscera trauma were included and 4 cases were scaned with contrast.Results： CT demonstarted parenchymal hemationa, subcapsular hemationa, breach, and hemoperitoneum of substantiality abdomen viscera blunt trauma.The 11 cases of blunt splenic trauma were surgery, 19 cases were treated conservatively, 5 cases of nephritic trauma were surgery, 18 cases were treated conservatively, 2 cases of hepatic trauma were surgery, 6 cases were treated conservatively.Conclusion： As one of effective methods for diagnosing substantiality abdomen viscera blunt trauma, CT can provide an important basis for choosing remedial plan clinical because of evaluating accuratly traumatic degree.
出处
《实用中西医结合临床》
2005年第5期10-12,共3页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
关键词
腹腔脏器
钝性损伤
CT
诊断
abdomen viscera
blunt trauma
CT
diagnosis
