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螺旋CT增强扫描对膈疝诊断及鉴别诊断的价值研究
引用本文:刘勇,陈中银.螺旋CT增强扫描对膈疝诊断及鉴别诊断的价值研究[J].中国CT和MRI杂志,2017(4):120-122.
作者姓名:刘勇  陈中银
作者单位:四川省巴中市中医院放射科 四川巴中636600
基金项目:四川省卫生厅科研课题资助(111981)
摘    要:目的探讨螺旋CT增强扫描对膈疝诊断及鉴别诊断的价值。方法回顾性地分析我院2013年1月-2015年12月期间接收的13例创伤性膈疝患者的检查资料,螺旋CT增强扫描分析膈疝的影像特征,并对膈疝影像特点进行分析,与临床特征进行比对。结果本文共13例膈疝患者,通过螺旋CT增强扫描,4例膈疝患者左侧膈肌破裂,胸腔左侧出现肠管影像,3例患者胃腔及肠管向上突入左侧胸腔内,5例患者左肺挫伤,肠管影突入左侧胸腔。结论螺旋CT能够准确的对患者胸部创伤病变的部位、性质、程度做出及时诊断,能够为临床治疗提供依据,应得到广泛应用。

关 键 词:螺旋CT  膈疝  诊断

Study on the Value of Scanning on the Diagnosis and Differential Diagnosis of Diaphragmatic Hernia Enhanced Spiral CT
Authors:LIU Yong  CHEN Zhong-yin
Abstract:Objective To study the spiral CT enhancement scanning the value of diagnosis and differential diagnosis of diaphragmatic hernia.Methods A review analysis of our hospital received 13 patients with traumatic diaphragmatic hernia were check material from January 2013 to December 2015,spiral CT enhancement scanning imaging features of diaphragmatic hernia,and analyze the diaphragmatic hernia image characteristics,and compare the clinical features.Results In this paper,a total of 13 patients with diaphragmatic hernia by spiral CT enhanced scan,4 cases left diaphragm rupture,diaphragmatic hernia patients with bowel loops at the left chest,heart shadow and mediastinal shift to the right,3 cases of stomach and bowel up into the left pleural cavity,left pulmonary contusion,5 patients insuffiate bowel shadow into the left side of chest.Gonclusion The conclusion spiral CT can accurately for the region,nature,the degree of chest trauma patients with lesions timely diagnosis,can provide the basis for clinical treatment,is worth to promotion and application.
Keywords:Spiral CT  Diaphragmatic Hernia  The Diagnosis
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