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目的探讨多排螺旋CT对腹部闭合性外伤后诊断及治疗的价值。方法应用螺旋CT扫描对血流动力学相对稳定的31例腹部闭合性外伤患者进行检查。结果CT扫描发现肝破裂9例,脾破裂12例,肝、脾包膜下出血4例,肾挫伤并血肿1例,肠系膜挫伤并腹膜后血肿2例,十二指肠破裂2例,腰椎骨折骨并后腹膜血肿1例;骨盆骨折并腹膜后血肿2例,腹腔积血28例,排除腹腔脏器损伤1例。实行手术27例。结论多排螺旋CT除评估腹腔积液的量外还可了解具体器官损伤的情况,越来越广泛地应用于腹部闭合性损伤的诊断,对腹部闭合性损伤的诊断有着比较高的敏感性、特异性和准确性,在诊断中发挥重大的作用,为临床治疗提供重要依据。
Objective To investigate the value of multislice spiral CT in the diagnosis and treatment of closed abdominal trauma. Methods Thirty-one patients with closed abdominal trauma who were relatively stable in hemodynamics were examined by spiral CT scan. Results CT scan revealed 9 cases of hepatic rupture, 12 cases of splenic rupture, 4 cases of hepatic and splenic subcapsular hemorrhage, 1 case of renal contusion and hematoma, 2 cases of mesenteric contusion and retroperitoneal hematoma, 2 cases of duodenal rupture, lumbar fracture 1 case of retroperitoneal hematoma, 2 cases of pelvic fracture and retroperitoneal hematoma, 28 cases of abdominal hemorrhage, 1 case of abdominal organ injury was excluded. 27 cases of surgery. Conclusions Multi-slice spiral CT can be used to diagnose abdominal closed injury more and more widely in the diagnosis of abdominal closed injury besides evaluating the amount of ascites, Specificity and accuracy, play a significant role in the diagnosis, provide an important basis for clinical treatment.