Analysis of multi spiral CT features of acute blunt or penetrating intestinal injury
10.3969/j.issn.1002-1671.2024.04.018
- VernacularTitle:急性钝性或穿通性肠管损伤的多层螺旋CT征象分析
- Author:
Yinghe HUANG
1
;
Xiongjun BAI
;
Yingqi LI
;
Jiacheng HUANG
;
Junchu BAO
;
Xucang DU
;
Jiuping LIANG
Author Information
1. 深圳市宝安区松岗人民医院放射科,广东 深圳 518105
- Keywords:
intestine;
injury;
computed tomography
- From:
Journal of Practical Radiology
2024;40(4):595-597,640
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the CT signs of acute blunt or penetrating intestinal injury,and to improve the diagnostic accuracy of multi spiral CT for intestinal injury.Methods The CT and clinical data of 63 patients with intestinal injury confirmed by clinical surgical exploration who underwent emergency CT scan were collected,and the CT findings and surgical findings were comparatively analyzed.Results There were 63 cases of intestinal injury,of which 26 cases were complicated with mesenteric injury.The direct CT signs of intestinal injury included intestinal wall thickening sign and intestinal discontinuity sign,which accounted for 64%(40/63)and 17%(10/63),respectively.The indirect CT signs of intestinal injury included intraperitoneal/retroperitoneal gas sign,intraperitoneal/retroperitoneal effusion sign,intramural air,and portal venous gas,which accounted for 72%(45/63),88%(55/63),7%(5/63)and 5%(3/63),respectively.Conclusion Recognizing the CT signs of intestinal injury,such as intestinal wall thickening sign,intestinal discontinuity sign,intraperitoneal/retroperitoneal gas sign,intraperitoneal/retroperitoneal effusion sign,intramural air,and portal venous gas can help to make the early and correct diagnosis of intestinal injury if combined with clinical practice.
