MSCT在对比剂外渗的急性腹部创伤性动脉损伤诊断中的应用价值.docxVIP

MSCT在对比剂外渗的急性腹部创伤性动脉损伤诊断中的应用价值 黄建斌 曹林德 韦文桦 李鑫 [摘要] 目的 探讨MSCT在对比剂外渗的急性腹部创伤性动脉损伤诊断中的应用价值。 方法 回顾性分析本院20XX年1月～20XX年12月收治的44例急性创伤性腹部动脉损伤患者及58例腹部非创伤性动脉病变患者影像资料，分析急性腹部创伤性和非创伤性动脉病变所致对比剂外渗的相关性。 结果 44例创伤性腹部损伤患者通过MSCT及图像后处理技术共检出59支动脉损伤，其中对比剂外渗34支、非对比剂外渗共25支;58例急性腹部非创伤组共检出58支动脉病变，其中8支存在对比剂外渗。对比剂外渗征象创伤组出现率明显高于非创伤性组（χ2=24.42，P0.05）。 结论 与非创伤组相比，急性腹部创伤性动脉损伤对比剂外渗征象较为常见，MSCT可以较好地显示创傷性对比剂外渗的直接及间接征象。 [关键词] 腹部损伤;动脉损伤;体层摄影术;X线计算机 [中图分类号] R543.1 [文献标识码] B [文章编号] 1673-9701（2020）09-0144-03 [Abstract] Objective To investigate the application value of MSCT in the diagnosis of acute abdominal traumatic arterial injury with contrast medium extravasation. Methods The image data of 44 patients with acute traumatic abdominal arterial injury and 58 patients with abdominal non-traumatic arterial disease treated in our hospital from January 20XX to December 20XX were retrospectively analyzed， and the correlation between contrast medium extravasation and acute abdominal traumatic， non-traumatic arterial disease was analyzed. Results A total of 59 arterial injuries were detected in 44 patients with traumatic abdominal injury by MSCT and image post-processing techniques， of which 34 were extravasation of contrast medium and 25 were non-contrast medium extravasation. 58 cases of arterial disease were detected in the acute abdominal traumatic group， 8 of which had contrast medium extravasation. The incidence of contrast medium extravasation in the traumatic group was significantly higher than that in the non-traumatic group（χ2=24.42， P0.05）. Conclusion Compared with those of the non-trauma group， the signs of contrast medium extravasation in acute abdominal traumatic arterial injury are more common. MSCT can better show the direct and indirect signs of traumatic contrast medium extravasation. [Key words] Abdominal injury; Arterial injury; Tomography; X-ray computer 随着工业化和交通工具的发展，高能量损伤导致多发伤的发病率逐年增高，腹部创伤作为意外发生时最容易出现损伤之一，严重威胁人类生命安全[1]，患者因外力因素所致腹部活动性出血所占比例较高且动脉损伤