医疗卫生装备2017，Vol.38Issue(11)：72-74,93,4.DOI:10.7687/j.issn1003-8868.2017.11.072
外伤性膈肌损伤的X线及CT诊断价值
Diagnostic values of X-ray and CT examinations for traumatic diaphragmatic rupture
吴圣峰 1夏云宝1
作者信息
- 1. 214044 江苏无锡,解放军101医院放射科
- 折叠
摘要
Abstract
Objective To explore the diagnostic values of X-ray and CT examinations for the traumatic diaphragmatic rupture. Methods Totally 17 patients with traumatic diaphragmatic rupture were retrospectively analyzed, who underwent X-ray chest radiograph and 64-slice spiral CT examinations as well as coronal and sagittal imaging by multi-planar reconstruction with GE ADW 4.6 workstation. Results Of the 17 patients, there were 15 ones had the rupture occurred on the left side (93.7%), one case on the right side (6.3%) and the remained one had no diaphragmatic injury;there were 10 ones of diaphragmatic contour discontinuity, 6 ones of intrathoracic hernia, 2 ones of cervical stenosis, one case of hanging sign and two cases of falling viscera sign. Conclusion Routine chest X-ray radiography has difficulty in diagnosing diaphragmatic rupture, while CT multiplanar imaging contributes to determining traumatic diaphragmatic rupture. Diaphragmatic rupture may occur after multiple trauma, and CT with multiplanar reformations has to be used as the routine examination for diagnosing diaphragmatic rupture.关键词
外伤/膈肌/胸片/X线/CT/多平面重建/征象Key words
trauma/diaphragm/chest radiograph/X-ray/CT/multi-planar reconstruction/sign分类
医药卫生引用本文复制引用
吴圣峰,夏云宝..外伤性膈肌损伤的X线及CT诊断价值[J].医疗卫生装备,2017,38(11):72-74,93,4.
