Clinical Values of Computer Tomography Examination in Abdominal Cavity Parenchymal Organs Injury_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZI Linghua , XU Huahu , GOU Jun , HE Xiaoqing.

Department of CT, Mianyang T.C.M Hospital, Mianyang 621000, Sichuan Province, China;

Corresponding author：

Keywords：

Abdominal cavity parenchymal organ injury; Computer tomography; Acute abdomen; Image diagnosis

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Objective To approach the clinical values of computer tomography (CT) examination technique and imaging features in abdominal cavity parenchymal organs injury.
Methods One hundred and fifty-nine patients with abdominal cavity parenchymal organs injury were examined by CT of plain scan and (or) contrast enhancement, the enhancement included arterial phase, parenchymal phase and the kidney scanning delay phase, the results of CT scanning were compared.
Results Ninty-eight cases among 159 patients were diagnosed as the abdominal cavity parenchymal organs injury by the CT, the diagnosis accordance rate was 98.1% (156/159) by operation and follow-up, 22 cases were simple viscus damage or back bone and pelvic fracture, 39 cases were negative, the examination positive rate was 75.5% (120/159).
Conclusion The CT can display the parenchymal organ traumatic condition, subcapsule hematoma, retroperitoneal hematoma, seroperitoneum and injured grade. It is the first selective examination to use CT scanning in abdominal cavity parenchymal organ damage, and it has important clinic values to use correct scanning techniques in abdominal injury examination.

Citation： ZI Linghua,XU Huahu,GOU Jun,HE Xiaoqing.. Clinical Values of Computer Tomography Examination in Abdominal Cavity Parenchymal Organs Injury. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(3): 294-297. doi: Copy

1.	Buntain WL, Gould HR, Maull KI. Predictability of splenic salvage by computed tomography [J]. J Trauma, 1988; 28(1): 2434.
2.	Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision) [J]. J Trauma,1995; 38(3): 323324.
3.	周康荣, 唐敖荣, 王宾, 等. 腹部CT [M]. 上海: 上海医科大学出版社, 1993: 292297.
4.	刘毅, 李帮春, 岳伟东. 腹部创伤的CT诊断(附98例分析) [J]. 实用放射学杂志, 1998; 14(10): 608610.
5.	全冠民. 腹部创伤的CT诊断 [J] . 实用放射学杂志, 1996; 12(2): 103.
6.	刘铁, 诸一吕, 顾国华. 317例腹部创伤CT诊断 [J]. 浙江实用医学, 2005; 10(4): 277278.
7.	程有根, 胡利荣, 胡叶明. 腹部外伤的CT诊断价值 [J]. 浙江临床医学, 2003; 7(3): 553.
8.	王彩云, 云冠峰, 马虹, 等. 双螺旋CT增强扫描对外伤性肾损伤的诊断价值 [J]. 中国医学影像学杂志, 2007; 15(6): 433435.
9.	侯登华, 郭玉树, 陈志强, 等. 螺旋CT增强及延时扫描在肾损伤诊断中的作用 [J]. 临床放射学杂志, 2005; 24(4): 340342.
10.	龚洪翰, 王敏, 王永正, 等. CT增强延时扫描在肾损伤诊断中的价值 [J]. 中华放射学杂志, 2003; 37(2): 147149.
11.	Orwig D, Federle MP. Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign [J]. AJR Am J Roentgenol, 1989; 153(4): 747749.
12.	谢肇钦, 付凯. 腹部外伤的CT诊断(附387例分析) [J]. 实用放射学杂志, 2000; 16(4): 229231.
13.	黄瑞庭, 柳学国. CT对腹部外伤后决定是否手术治疗的探讨(附65例报告) [J]. 实用放射学杂志, 2002; 18(8): 719720.
14.	董江宁, 孔学英, 姚金龙. 闭合性腹部外伤胰腺断裂的CT表现 [J]. 中华放射学杂志, 2006; 40(12): 12951298.
15.	唐朝辉, 邹声泉, 余彦, 等. 47例多发伤合并胰腺损伤临床诊治分析 [J]. 中国现代医学杂志 [J]. 2008; 18(24): 36483650.
16.	蔡敬铭, 潘光栋, 谭盛强. 肝外伤52例诊治分析 [J]. 中国普外基础与临床杂志, 2008; 15(9): 690691.
17.	Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management [J]. J Trauma, 1995; 39(3): 507512.
18.	郑元超, 姜永生, 夏焱, 等. 腹部闭合性损伤致胃肠道破裂的平扫CT诊断 [J].中国普外基础与临床杂志, 2003; 10(5): 506508.
19.	冷建军, 吴贵华, 林大富, 等. 脾损伤CT分级与手术中分级对照 [J]. 腹部外科, 2001; 14(4): 213214.
20.	陈广瑜, 肖元新, 付振刚. 78例腹部闭合性损伤诊治分析 [J]. 中国普外基础与临床杂志, 2008; 15(6): 450.
21.	向晨, 倪浩东. 急性闭合性肾损伤132例诊治体会 [J]. 临床医学, 2000; 20(9): 2325.
22.	张跃, 华积德. 成人钝性肝损伤的非手术治疗现状 [J]. 中华创伤杂志, 2000; 16(2): 8385.
23.	江艺. 腹部脏器损伤的治疗进展 [J]. 临床外科杂志， 2007; 15(11): 736738.
24.	郑昊, 梁君. 肝脏闭合性损伤43例体会 [J]. 齐齐哈尔医学院学报, 2004; 25(5): 518519.
25.	陈颢, 梁文辉, 李碧波. 重症闭合性腹外伤52例报告 [J]. 中国普外基础与临床杂志, 2005; 12(2): 131.

1. Buntain WL, Gould HR, Maull KI. Predictability of splenic salvage by computed tomography [J]. J Trauma, 1988; 28(1): 2434.
2. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling: spleen and liver (1994 revision) [J]. J Trauma,1995; 38(3): 323324.
3. 周康荣, 唐敖荣, 王宾, 等. 腹部CT [M]. 上海: 上海医科大学出版社, 1993: 292297.
4. 刘毅, 李帮春, 岳伟东. 腹部创伤的CT诊断(附98例分析) [J]. 实用放射学杂志, 1998; 14(10): 608610.
5. 全冠民. 腹部创伤的CT诊断 [J] . 实用放射学杂志, 1996; 12(2): 103.
6. 刘铁, 诸一吕, 顾国华. 317例腹部创伤CT诊断 [J]. 浙江实用医学, 2005; 10(4): 277278.
7. 程有根, 胡利荣, 胡叶明. 腹部外伤的CT诊断价值 [J]. 浙江临床医学, 2003; 7(3): 553.
8. 王彩云, 云冠峰, 马虹, 等. 双螺旋CT增强扫描对外伤性肾损伤的诊断价值 [J]. 中国医学影像学杂志, 2007; 15(6): 433435.
9. 侯登华, 郭玉树, 陈志强, 等. 螺旋CT增强及延时扫描在肾损伤诊断中的作用 [J]. 临床放射学杂志, 2005; 24(4): 340342.
10. 龚洪翰, 王敏, 王永正, 等. CT增强延时扫描在肾损伤诊断中的价值 [J]. 中华放射学杂志, 2003; 37(2): 147149.
11. Orwig D, Federle MP. Localized clotted blood as evidence of visceral trauma on CT: the sentinel clot sign [J]. AJR Am J Roentgenol, 1989; 153(4): 747749.
12. 谢肇钦, 付凯. 腹部外伤的CT诊断(附387例分析) [J]. 实用放射学杂志, 2000; 16(4): 229231.
13. 黄瑞庭, 柳学国. CT对腹部外伤后决定是否手术治疗的探讨(附65例报告) [J]. 实用放射学杂志, 2002; 18(8): 719720.
14. 董江宁, 孔学英, 姚金龙. 闭合性腹部外伤胰腺断裂的CT表现 [J]. 中华放射学杂志, 2006; 40(12): 12951298.
15. 唐朝辉, 邹声泉, 余彦, 等. 47例多发伤合并胰腺损伤临床诊治分析 [J]. 中国现代医学杂志 [J]. 2008; 18(24): 36483650.
16. 蔡敬铭, 潘光栋, 谭盛强. 肝外伤52例诊治分析 [J]. 中国普外基础与临床杂志, 2008; 15(9): 690691.
17. Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management [J]. J Trauma, 1995; 39(3): 507512.
18. 郑元超, 姜永生, 夏焱, 等. 腹部闭合性损伤致胃肠道破裂的平扫CT诊断 [J].中国普外基础与临床杂志, 2003; 10(5): 506508.
19. 冷建军, 吴贵华, 林大富, 等. 脾损伤CT分级与手术中分级对照 [J]. 腹部外科, 2001; 14(4): 213214.
20. 陈广瑜, 肖元新, 付振刚. 78例腹部闭合性损伤诊治分析 [J]. 中国普外基础与临床杂志, 2008; 15(6): 450.
21. 向晨, 倪浩东. 急性闭合性肾损伤132例诊治体会 [J]. 临床医学, 2000; 20(9): 2325.
22. 张跃, 华积德. 成人钝性肝损伤的非手术治疗现状 [J]. 中华创伤杂志, 2000; 16(2): 8385.
23. 江艺. 腹部脏器损伤的治疗进展 [J]. 临床外科杂志， 2007; 15(11): 736738.
24. 郑昊, 梁君. 肝脏闭合性损伤43例体会 [J]. 齐齐哈尔医学院学报, 2004; 25(5): 518519.
25. 陈颢, 梁文辉, 李碧波. 重症闭合性腹外伤52例报告 [J]. 中国普外基础与临床杂志, 2005; 12(2): 131.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Values of Computer Tomography Examination in Abdominal Cavity Parenchymal Organs Injury

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