CT扫描在肝脏外伤诊断中的价值（附126例报告）

目的　探讨CT扫描在肝脏外伤中的诊断价值。方法　分析 12 6例 (男 93例 ,女 33例 )经手术、临床证实的肝脏外伤的CT表现 ;所有病例先行平扫 ,88例平扫后行增强扫描。结果　12 6例中肝挫裂伤 99例 ,肝内血肿 15例 ,肝包膜下血肿 12例。病灶分布在左右肝 4 2例 (33.3% ) ,单纯右肝损伤 74例 (5 8.4 % ) ,左肝损伤 10例 (8.3% )。结论　CT扫描对明确有无肝脏损伤、判断损伤程度、估计腹腔出血量、选择适当的治疗方法具有重要的价值。

The value of CT scan in the diagnosis of liver trauma: A report of 126 cases

Objective To explore the value of CT scan in the diagnosis of liver trauma. Methods 126 cases (93 males and 33 females) of liver trauma confirmed surgically were retrospectively analyzed. Normal scan was performed in all cases, 88 cases received enhancement performance. Results 99 cases were liver contusion, 15 hematoma in liver and 12 hematoma under envelope. The focus distributed in left and right liver were 42 cases ( 33.3% ), simple right liver trauma 74 cases ( 58.4% ) and left liver trauma 10 cases ( 8.3% ). Conclusions The CT scan is very valuable in defining liver trauma, in judging trauma degree, also in estimating bleeding amount of abdominal cavity and in selecting proper mode of therapy.