作　　者： (刘冬）; (郭勇）; (张连阳）;

机构地区： 第三军医大学大坪医院野战外科研究所全军战创伤中心、创伤、烧伤与复合伤国家重点实验室,重庆400042

出　　处： 《创伤外科杂志》 2017年第9期717-720,F0003,共5页

摘　　要： 肠道及肠系膜损伤在腹部钝性伤中的发生率较高且易出现诊断延迟或漏诊。多层X线计算机断层成像具有较高的空间、时间和对比度分辨率,提高了肠道及肠系膜损伤诊断率。可显示腹腔内脏器损伤的直接和间接影像,指导非手术治疗或手术治疗的选择和效果评估。本文就肠道及肠系膜损伤在CT中特异性和非特异性征象作一论述。 Blunt intestinal and mesenteric trauma（BIMT） is one common entry of blunt abdominal trauma（BAT）.BIMT has high incidence rate,thus it often leads to delayed or missed diagnosis.Multi-detector computed tomography（MDCT） features with high resolution in space,time and contrast,promoting the diagnostic rate of BIMT.MDCT can both directly and indirectly show abdominal organ injuries,which may serve as the indicators for surgical and non-surgical treatments,as well as for outcome evaluation.This review focuses on the specific and nonspecific imaging signs of BIMT with respect to MDCT.

关 键 词： 腹部损伤 肠道损伤 影像学