CAJ | 학술논문

目的探讨螺旋CT对急性钝性大小肠和肠系膜损伤的诊断价值.方法 2004-02-2008-05, 急性腹部钝性损伤螺旋CT扫描300例.CT诊断大小肠或/和肠系膜损伤18例,其中16例剖腹手术.2例临床随访.CT表现与手术探查对照分析.结果肠管和系膜损伤的CT各种表现的诊断准确率分别为:肠壁增厚63%,肠壁破裂100%,肠系膜血肿71%,肠系膜血管中断100%,系膜束带征56%及气腹或肠壁或系膜间积气50%.结论综合分析肠和肠系膜损伤的直接和间接CT征象,可以较准确地评估肠和肠系膜损伤的程度及损伤部位.
목적 탐토라선CT대급성둔성대소장화장계막손상적진단개치.방법 2004-02-2008-05, 급성복부둔성손상라선CT소묘300례.CT진단대소장혹/화장계막손상18례,기중16례부복수술.2례림상수방.CT표현여수술탐사대조분석.결과 장관화계막손상적CT각충표현적진단준학솔분별위:장벽증후63%,장벽파렬100%,장계막혈종71%,장계막혈관중단100%,계막속대정56%급기복혹장벽혹계막간적기50%.결론 종합분석장화장계막손상적직접화간접CT정상,가이교준학지평고장화장계막손상적정도급손상부위.
Objective To evaluate the value of helical CT in diagnosis of bowel and/or mesenteric injuries in blunt abdominal trauma. Methods 300 patients suspected with blunt abdominal trauma underwent spiral CT examinations from 2004 - 02 to 2008 -05, of them, 18 cases diagnosed with bowel and/or mesenteric injuries by CT, of 18 cases, 16 cases underwent operation therapy and 2 cases followed -up clinically. CT features were analysed comparatively with that of operations. Results The accuracy in diagnosing the bowel and/or mesenteric injuries in blunt abdominal trauma with CT different findings included:bowel wall thickening in 63%,the bowel wall rupture in 100% .mesenteric hematoma in 71 %, termination of mesenteric vessels in 100%,isolated mesenteric streaking in 56% and pneumoperitoneum,accumulation of air in bowel walls or mesenteric spaces in 50%. Conclusion By synthetic analyzing the helical CT findings can assess more accurately the degree and position of bowel and/or mesenteric injuries in blunt abdominal trauma.