论文部分内容阅读
目的：探讨闭合性腹部肠道及系膜损伤的CT表现特征。材料与方法：回顾性研究闭合性腹部肠道及系膜损伤CT表现对例，全部经手术证实。结果：21例中，腹腔积气10例，主要呈小泡状、裂隙状，分布于肝脾胃周等；肠道管壁增厚2例；系膜增厚及血肿4例；腹腔及肠袢间积液13例；肠道扩张2例。结论：腹腔积气是肠道损伤的直接征象，肠道管壁及系膜增厚与血肿为肠道损伤的提示性征象，来源不明的腹腔积液，应考虑肠道损伤的可能性。肠道损伤的CT表现特征，对临床诊治和预后评估等具有重要价值。
Objective: To investigate the CT features of closed abdominal intestinal and mesangial lesions. Materials and Methods: Retrospective study of closed abdominal gut and mesangial injury CT manifestations of cases, all confirmed by surgery. Results: In 21 cases, there were 10 cases of peritoneal gas accumulation, mainly vesicles, fissures, distributed in the liver, spleen and stomach; intestinal wall thickening in 2 cases; mesangial thickening and hematoma in 4 cases; abdominal cavity and intestine Between the fluid in 13 cases; intestinal dilatation in 2 cases. CONCLUSIONS: Aspirritic pneumoperitoneum is a direct symptom of intestinal injury, intestinal wall and mesangial thickening and hematoma as a sign of intestinal injury, unknown origin of ascites, should consider the possibility of intestinal damage. Intestinal damage of the CT features of the clinical diagnosis and prognosis assessment of great value.