胰腺损伤的CT诊断分析

目的 探讨胰腺损伤的CT征象及诊断价值.方法 回顾分析11例胰腺损伤的CT、临床资料.结果 胰腺实质内出血、水肿,增强后见与胰腺长轴垂直低密度线,分别为胰腺挫伤、胰腺断裂直接征象;胰腺周围积血、积液、左肾前筋膜增厚、假性囊肿、胆管积气为胰腺损伤间接征象.结论 CT是诊断胰腺损伤的首选方法.熟练掌握CT征象并正确诊断, 对临床手术意义重大.

CT diagnosis and analysis of pancreatic trauma

Objective To study the CT symptom and diagnosis value of pancreatic trauma. Methods Retro-spectively analyzed the CT and clinical data of 11 pancreatic trauma. Results Bleeding,edema in pancreas parenehy-ma, uprightness low density lines appear along long axis of pancreas when enhancement were performed ,which werethe direct symptom of pancreatic trauma and rupture; hematoeele, hydrops around pancreas, front fascia of left kidney broaden, pancreatic pseudoeyst pneumatosis in bile duet, which were the indirect symptom of pancreatic trauma. Con-clusion CT is the first choice in the diagnosis of pancreatic trauma. Master the CT symptom and make right diag-nosis, which were important to clinical operation.