实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
3期
76-77,80
,共3页
钝性外伤性小肠穿孔%气腹%CT
鈍性外傷性小腸穿孔%氣腹%CT
둔성외상성소장천공%기복%CT
small bowel perforation due to blunt trauma%pneumoperitoneum%computed tomography
目的：评价CT对钝性外伤性小肠穿孔的诊断价值。方法对15例经手术证实的钝性外伤性小肠穿孔的CT表现进行回顾性分析。结果15例患者中11例CT上腹部见游离气体，术前正确诊断小肠穿孔11例，诊断正确率为73.3%；4例漏诊患者因腹腔内均未见明确游离气体，且由于合并其他损伤，忽略了小肠周围渗出情况，导致漏诊。结论 CT对于钝性外伤性小肠穿孔具有较高的术前诊断价值。
目的：評價CT對鈍性外傷性小腸穿孔的診斷價值。方法對15例經手術證實的鈍性外傷性小腸穿孔的CT錶現進行迴顧性分析。結果15例患者中11例CT上腹部見遊離氣體，術前正確診斷小腸穿孔11例，診斷正確率為73.3%；4例漏診患者因腹腔內均未見明確遊離氣體，且由于閤併其他損傷，忽略瞭小腸週圍滲齣情況，導緻漏診。結論 CT對于鈍性外傷性小腸穿孔具有較高的術前診斷價值。
목적：평개CT대둔성외상성소장천공적진단개치。방법대15례경수술증실적둔성외상성소장천공적CT표현진행회고성분석。결과15례환자중11례CT상복부견유리기체，술전정학진단소장천공11례，진단정학솔위73.3%；4례루진환자인복강내균미견명학유리기체，차유우합병기타손상，홀략료소장주위삼출정황，도치루진。결론 CT대우둔성외상성소장천공구유교고적술전진단개치。
Objective To evaluate the diagnose value of CT in small bowel perforation due to blunt trauma. Methods CT findings of 15 patients with surgery-confirmed small bowel perforation following blunt trauma were analyzed retrospectively. Results Among the 15 patients, CT showed free air in upper abdomen in 11, and small bowel perforation was preoperatively diagnosed in 11 (73.3%). No intraperitoneal free air was found in the 4 patients with a missed diagnosis, which was caused by ignoring the seepage around small intestine due to other damage.Conclusion CT is a valuable technique for the diagnosis of small bowel perforation due to blunt trauma.
