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目的讨论外伤性输尿管破裂在多排螺旋CT诊断中的表现及诊断价值。方法回顾分析11例经手术证实为外伤性输尿管破裂的多排螺旋CT表现。结果 11例患者CT表现肾脏周围积液,周围脂肪间隙毛糙,增强检查及延时检查,造影剂外漏入腹腔,输尿管内造影剂与外漏造影剂分界不清,5例患者合并腹腔内积液。6例合并内脏损伤,CT表现为肝实质、肾实质及脾脏内低密度影,密度不均匀,增强后实质强化不均匀。结论 CT检查对外伤性输尿管破裂可明确显示病变,易于做出准确的诊断。
Objective To discuss the performance and diagnostic value of traumatic ureteral rupture in multi-slice spiral CT. Methods Retrospective analysis of 11 cases of traumatic ureteral rupture proved by surgery multi-slice spiral CT. Results The CT findings of 11 cases of patients with peripheral fluid around the kidney, fat around the rough, enhanced inspection and delayed examination, contrast agent leakage into the abdominal cavity, ureteral contrast medium and leakage of contrast agent unclear, 5 patients with intraperitoneal accumulation liquid. 6 cases with visceral injury, CT showed the liver parenchyma, renal parenchyma and spleen in the low-density, uneven density, enhancement of the physical strengthening uneven. Conclusion CT examination of traumatic ureteral rupture can clearly show lesions, easy to make accurate diagnosis.