摘要
目的:讨论螺旋CT在肾上腺钝性损伤中的诊断价值。方法:回顾性分析诊断明确的11例肾上腺钝性损伤患者的CT表现。结果:右侧肾上腺损伤9例(81.82%),左侧2例(18.18%)。患者中:形成血肿7例(63.63%),血肿表现为圆形或卵圆形肿块影,有2例为迟发性血肿;肾上腺挫伤4例(36.37%),表现为肾上腺局限性或弥散性增粗、肿胀,CT复查表现为肾上腺血肿体积缩小,密度从边缘开始逐渐降低,肾上腺形态缓慢恢复。7例中5例完全吸收,1例形成机化结节,1例形成假性囊肿。4例肾上腺挫伤者经随访复查,其肾上腺形态逐步恢复。结论:肾上腺钝性损伤具有特征性CT表现,螺旋CT对肾上腺钝性损伤具有重要诊断价值,可作为首选方法。
Objective： To discuss the diagnostic value of spiral CT on adrenal gland blunt injury. Methods：The CT imaging features of 9 cases with adrenal injury verified by following up were analyzed retrospectively. Results ：9 cases （ 81.82% ） were on the right side, 2 cases （ 18.18 % ） were on left side, 7 cases （63.63%） of them formed hematomas, which exhibited round or roundish shadow. 2 cases of them had hematoma delayed; 4 cases （36.37%） in this group had adrenal bruise. Adrenal bruise exhibited Adrenal glands diffuse thickening and swelling. Following up the adrenal hematomas after injury , found that the density of shadow reduced from margin of hematomas and that the shapes of adrenal gland recovered gradually. 5 cases of them were complete disappearance, 1 cases of them was formed organized nodule, 1 cases of them revealed cystic change. Following up the adrenal bruise （4 cases） , found that Their shapes of adrenal gland recovered gradually. Conclusion：adrenal gland blunt injury has the characteristic CT appearance, CT examination is of significant value in diagnosis of adrenal blunt injury;and spiral CT is the first method for diagnosis of adrenal injury.
出处
《现代临床医学》
2013年第1期70-72,共3页
Journal of Modern Clinical Medicine
