摘要
目的探讨多层螺旋CT在肺撕裂伤中的表现及其应用价值。方法回顾性分析38例肺撕裂伤的临床及CT表现。结果 38例肺撕裂伤患者累及54个肺叶,其中右肺上叶10例,右肺中叶5例,右肺下叶17例,左肺上叶10例,左肺下叶12例。CT表现为肺气囊肿10例,肺气液囊肿25例,肺血肿9例,条状蜂窝样改变4例,38例均伴有不同程度肺挫伤。合并肋骨骨折36例(其中多发肋骨骨折31例),血气胸15例,胸壁皮下广泛积气10例,纵膈内积气6例,心包内积气3例,胸椎或腰椎骨折14例,锁骨骨折5例,肩胛骨骨折4例,20例伴有颅脑或腹部损伤20例。结论螺旋CT是诊断及动态观察肺撕裂伤的最佳检查方法,对临床治疗具有重要的指导价值。
Objective To explore the findings and diagnostic value of CT in Ainpulmonary laceration. Methods We ret rospectively reviewed the clinical and radiological data of 38 patients who were diagosed with pulmonary laceration between June 2009 and January 2012. Results 38 cases of pulmonary laceration involved 54 lung lobes, in which 10 located in su perior lobe of right lung, 5 in middle lobe of right lung, 17 in inferior lobe of right lung, 10 in superior lobe of left lung, 12 in inferior lobe of left lung. The CT findings were lung gaseous cyst in 10 cases, lung gas-liquid cyst in 25 cases, pul monary hematomas in 9 cases, Strip honeycomb-like change in 4 cases. Complications were as follows： pulmonary contu- sion （38 cases）, rib fracture （36 cases, mutiple fracture in 31 cases）, haemopneumothorax（15 cases）, extensive cutaneous emphysema of chest wall （10 cases）, mediastinum and pericardial aerocele （6 ~ 3 cases）, thoracic or lumbar vertebrae fracture （14 cases）, clavicle fracture （5 csaes）, scapular frature （4 cases）, craniocerebral or abdomen injury （20 cases）. Conclusion CT, which is the perfect examination of finding, diagnosing and dynamic observation, possesses a significant guiding value in clinical therapy.
出处
《医学影像学杂志》
2013年第2期210-212,共3页
Journal of Medical Imaging
