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。

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 insufflate bowel shadow into the left side of chest. Conclusion 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.