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目的探讨外伤性肾上腺损伤的临床CT表现。方法我院自2008年8月至2012年5月收治肾上腺损伤患者13例,对其给予CT检查诊断,观察并统计所有患者的CT检查结果。结果 11例肾上腺区域类圆形、孤立圆形影,CT值55～70Hu,平扫为混杂密度或高密度影,扫描增强后无增强,模糊或清楚的边缘;8例肾上腺周围组织损伤,表现为肾上腺周围脂肪内索斑片状、条状高密度出血浸润影6例;密度增高、膈肌脚局限性增厚4例;5例合并其他胸腹部脏器损伤;1例肾上腺弥漫性出血,肾上腺包埋在血肿影中,肾上腺正常结构消失。结论外伤性肾上腺损伤的临床CT表现清楚,可准确定位血肿的大小、形态、密度,能够对肾上腺的解剖形态进行清楚的显示,能够清晰显示与邻近组织的关系,可为临床治疗方案的制定和临床诊断提供参考。
Objective To investigate the clinical manifestations of traumatic adrenal injury. Methods Thirteen patients with adrenal injury were treated in our hospital from August 2008 to May 2012. CT was performed to diagnose them. CT findings of all patients were observed and statistically analyzed. Results 11 cases of adrenal region round or isolated round shadow, CT value 55 ~ 70Hu, plain scan for the mixed density or high density, no enhanced enhanced scan, fuzzy or clear edge; 8 cases of adrenal tissue injury, the performance In the adrenal fat around the cord patch plaque, the strip of high-density bleeding infiltration in 6 cases; increased density, limited diaphragm thickening in 4 cases; 5 cases of other chest and abdomen organ injury; 1 case of adrenal diffuse hemorrhage, adrenal gland Buried in the shadow of the hematoma, the normal structure of the adrenal disappeared. Conclusion The clinical manifestations of traumatic adrenal injury are clear. It can accurately locate the size, shape and density of the hematoma, and can clearly show the anatomy of the adrenal gland. It can clearly show the relationship with the adjacent tissues and can be used for the formulation of clinical treatment plans and Provide a reference for clinical diagnosis.