简体中文

·腹部疾病·

胰腺损伤的CT表现及应用价值(附7例分析及文献复习)

作者:吴伯勋 皮金才 陈全武 刘 鹏

所属单位:湖北省大冶市人民医院CT/MR室 (湖北 大治 435100)

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摘要

目的 探讨胰腺损伤的CT表现及应用价值。方法 回顾性分析经手术证实的7例胰腺损伤患者的CT资料,结合文献资 料并对CT图像进行总结、分析,观察胰腺是否增大、完整性、胰管情况、胰周的渗出情况及其他脏器的损伤情况。 结果 本组胰腺损伤Ⅰ型3例,Ⅱ型2例,Ⅲ型1例,Ⅳ型1例,7例中均合并其他脏器损伤。结论 CT能明确显示胰腺 的各型损伤情况和其他脏器损伤情况,并能对胰腺损伤的并发症和术后情况进行追踪监测,是胰腺损伤的首先影像 学检查方法。

Objective To study the CT findings of pancreatic injury and its application value. Methods 7 cases with pancrestic injury comfirmed by clincal surgically were retrospectively analyzed. Combined with literature data and CT images to observe the injury of pancreatic whether increased ,integrity, pancreatic duct, peripancreatic exudation and Injury of other organs. Results In 7 cases there were 3cases of type I, 2cases of type II,1case of type III and 1case of type IV.7cases were complicated with other organs injury. Conclusion CT can clearlydisplay the situation of various types of pancreatic injury and injury of other organs, and can monitor the complications and The postoperative situation. CT examination is the first choice of pancreatic injury.

【关键词】胰腺损伤;CT成像;表现

【中图分类号】R322.4+91

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2015.03.018

前言

由于胰腺位于腹膜后,解剖位置深而隐蔽,相 对固定,在腹部损伤中并不常见,约占腹部损伤中 的1~6%[1],国外有人[2]统计约占腹部闭合性损伤的 2%~3%。近年来由于交通事故频发,腹部闭合性损伤 时有发生,加之CT及MRI应用的普及,胰腺损伤的报 道逐渐增多,CT在胰腺损伤中的应用价值得到临床 广泛认可。笔者收集近年我院收治的胰腺损伤7例患 者,并复习文献资料,总结胰腺损伤的CT表现和应用 价值。