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目的探讨腹腔实质器官损伤中CT影像学表现的临床价值。方法对外伤所致腹部脏器损伤的159例患者行平扫和(或)增强扫描,增强扫描采用动脉期、实质期,肾脏加做延迟期,与行增强扫描复查病例进行对比分析。结果159例病例中,98例CT诊断为腹腔实质脏器挫裂伤,经手术与临床追踪得到证实,22例为单纯空腔脏器损伤或脊柱、骨盆骨折,39例为阴性,检查阳性率为75.5%(120/159),诊断符合率为98.1%(156/159)。结论CT检查能清楚显示实质脏器内损伤情况、包膜下血肿、腹膜后血肿、腹腔积液量,能对损伤的程度进行分级,正确选择扫描技术在腹部损伤诊断中有重要的临床价值。
Objective To investigate the clinical value of CT imaging in the injury of celiac parenchyma. Methods One hundred and ninety-seven patients with trauma-induced abdominal organ injury underwent plain scan and / or enhanced scan. The contrast-enhanced scan was performed with arterial phase, real phase, and renal plus delay phase. Results Of the 159 cases, 98 cases of CT were diagnosed as contusion and laceration of abdominal viscera by surgery and clinical follow-up. Twenty-two of them were simple hollow organ injury or spine and pelvic fracture, and 39 were negative. The positive rate Was 75.5% (120/159), the diagnostic coincidence rate was 98.1% (156/159). Conclusion CT examination can clearly show the internal organ damage, sub-capsule hematoma, retroperitoneal hematoma, ascites fluid volume, can grade the degree of injury, the correct choice of scanning technology in the diagnosis of abdominal injury has important clinical value.