CAJ | 학술논문

目的总结外伤性右膈疝的影像学诊断及价值.方法对20例外伤性右膈疝患者行螺旋CT扫描、普通X线透视, 将前诊断结果与手术和临床随访结果进行对照.结果右膈明显上抬,膈面模糊20例;右膈肌异常运动14例.右膈肌活动度减弱例;肝脏外形欠光整17例,分叶征11例,脐凹征8例;右膈肌脚增厚14例;疝囊、疝环9例;8例纵隔明显向左移位,6例右下肺实18例(90%)术后治愈,2例(10%)死亡.结论螺旋CT扫描结合普通X线透视,对外伤性右膈疝损伤的诊断具有重要价值.
목적 총결외상성우격산적영상학진단급개치.방법 대20예외상성우격산환자행라선CT소묘、보통X선투시, 장전진단결과여수술화림상수방결과진행대조.결과 우격명현상태,격면모호20례;우격기이상운동14례.우격기활동도감약례;간장외형흠광정17례,분협정11례,제요정8례;우격기각증후14례;산낭、산배9례;8례종격명현향좌이위,6례우하폐실18례(90%)술후치유,2례(10%)사망.결론 라선CT소묘결합보통X선투시,대외상성우격산손상적진단구유중요개치.
Objective To summarize the diagnostic experience of traumatic right diaphragmatic hernia with CT and X-ray fluo-roscopy. Methods 20 cases of traumatic right diaphragmatic hernia underwent CT scanning and X-ray fluoroscopy,the results of imaging were analysed and compared with that of surgery and clinical following -up. Results CT and fluoroscopy showed;the right diaphragms raise and fuzzy phrenic surface in 20 cases;the abnormal movement in 14 and activity decreased in 6 cases of the right di-aphragm;no smooth in 17 cases,lobulation in 11 and "umbilicated sign" in 8 cases;right diaphragmatic feet thickening in 14,hernial sac and hernia ring in 9;marked mediastinal shift to the left in 8,right lower pulmonary consolidation in 6. 18 cases(90%) were recovered and 2 cases( 10% ) died after operations . Conclusion Spiral CT scanning combined with radiography is of important value in diagnosing traumatic right diaphragmatic herniation.