外伤性肾上腺血肿MSCT诊断分析
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摘要
目的:分析外伤性肾上腺血肿的CT表现,探讨MSCT对外伤性肾上腺血肿的诊断价值。方法:收集本院26例外伤性肾上腺血肿病例,总结CT对血肿的检出率、血肿的分布、随时间推移血肿的变化特点及其并发其他脏器损伤情况。结果:26例均为单侧肾上腺血肿,其中右侧25例,左侧1例,25例合并其他脏器损伤。结论:MSCT能准确显示肾上腺血肿大小、形态及密度,CT随诊对外伤性肾上腺血肿的诊断及鉴别诊断具有重要作用。
Analysis of CT manifestations of traumatic adrenal hematoma, to explore the diagnostic value of MSCT in traumatic adrenal hematoma. Methods: Collected 26 cases of traumatic adrenal hematoma cases in our hospital, and summarize the CT detection rate of hematoma, the distribution of the hematoma, the change characteristics of hematoma over time and complicated with other organ injuries. Results: 26 cases were unilateral adrenal hematoma, the right side in 25 cases, 1 cases were on the left, 25 cases combined with other organs injury. Conclusion: MSCT can accurately show the adrenal hematoma size, shape and density, CT diagnosis and differential diagnosis with traumatic adrenal hematoma plays an important role in.
Analysis of CT manifestations of traumatic adrenal hematoma, to explore the diagnostic value of MSCT in traumatic adrenal hematoma. Methods: Collected 26 cases of traumatic adrenal hematoma cases in our hospital, and summarize the CT detection rate of hematoma, the distribution of the hematoma, the change characteristics of hematoma over time and complicated with other organ injuries. Results: 26 cases were unilateral adrenal hematoma, the right side in 25 cases, 1 cases were on the left, 25 cases combined with other organs injury. Conclusion: MSCT can accurately show the adrenal hematoma size, shape and density, CT diagnosis and differential diagnosis with traumatic adrenal hematoma plays an important role in.
引文
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[14]Burks DW,Mirvis SE,Shanmuganathan K.Acute adrena1 injury after blunt abdominal trauma:CT finding[J].American Journal of Roentgenology,1992,158:503-507.
[15]陈洪良,刁显明,杜勇.肾上腺外伤性血肿的CT诊断(附7例动态分析)[J].中国医学影像学杂志,2002,10(2):112-114.Chen HL,Diao XM,Du Y.CT diagnosis of adrenal traumatic hematoma(dynamic analysis report of 7 cases)[J].Chinese Journal of Medical Imaging,2002,10(2):112-114.
[16]Lykissas MG,Galanis SH,Borodimos AC,et al.CT diagnosis of acute adrenal insufficiency due to bilateral adrenal haemorrhage[J].European Journal of Radiology,2006,57:31-33.
[17]李民,王藏海.肾上腺肿瘤的CT及MRI表现评价[J].河北医药,2003,25:749-750.Li M,Wang ZM.CT and MRI evaluation of adrenal tumors[J].Hebei Medical Journal,2003,25:749-750.
[18]邵剑波,杨敏洁.儿科影像病例点评200例[M].北京:北京大学医学出版社,2013:364-364.Shao JB,Yang MJ.Pediatric imaging case review[M].Beijing:Peking University Medical Press,2013:364-364.
[2]王士兴,华晓,朱洪良.肾上腺损伤的CT诊断[J].放射学实践杂志,2004,19(8):596-596.Wang SX,Hua X,Zhu HL.CT diagnosis of adrenal injury[J].Radiology Practice,2004,19(8):596-596.
[3]urks DW,Mirvis SE,Shanmuganathan K.Acute adrenal injury after blunt abdominal trauma:CT findings[J].American Journal of Roentgenology,1992,158:503-507.
[4]Dunnick NR.Adrenal trauma[M].Ppollack HM,Mcuennan BL,EDS.Clinical U rography.2 ed.Philadephia:Saunders,2000:1767-1771.
[5]武忠弻,杨光华.中华外科病理学[M].北京:人民卫生出版社,2002:1825-1827.Wu ZB,Yang GH.Chinese surgical pathology[M].Beijing:People's Medical Publishing House,2002:1825-1827.
[6]杨光华.病理学[M].北京:人民卫生出版社,2003:40-43.Yang GH.Pathology[M].Beijing:People's Medical Publishing House,2003:40-43.
[7]周康荣.腹部CT[M].上海:上海医科大学出版社,1993:288.Zhou KR.Abdominal CT[M].Shanghai:Shanghai Medical University Press,1993:288.
[8]李胜,邹文远,侯明伟.MSCT对外伤性肾上腺血肿的诊断价值[J].中国中西医结合影像学杂志,2013,11(3):314-315.Li S,Zou WY,Hou MW.The diagnostic value of MSCT in traumatic adrenal hematoma[J].Chinese Imaging Journal of Integrated Traditional and Western Medicine,2013,11(3):314-315.
[9]Ikeda O,Urata J,Araki Y,et al.Acute adrenal hemorrhage after blunt trauma[J].Abdom Imaging,2007,32:248-248.
[10]曹丹庆,蔡祖龙.全身CT诊断学[M].北京:人民军医出版社,1996:530.Cao DQ,Cai ZL.Whole body CT diagnostics[M].Beijing:People's Military MedicalPress,1996:530.
[11]张万峰,刘会恩,王贵平.外伤性肾上腺出血的诊治体会[J].齐齐哈尔医学院学报,2006,27(14):1695-1697.Zhang WF,Liu HE,Wang GP.Diagnosis and treatment of adrenal hemorrhage injury[J].Journal of Qiqihar Medical College,2006,27(14):1695-1697.
[12]Atif IR,Philip JK,mark EL,et al.Adrenal gland hematomas in trauma patient[J].Radiology2004,230:669-675.
[13]Gabal Shehab I,Alagiri M.Traumatic adrenal injuries[J].Journal of Urology,2005,173(4):1330-1331.
[14]Burks DW,Mirvis SE,Shanmuganathan K.Acute adrena1 injury after blunt abdominal trauma:CT finding[J].American Journal of Roentgenology,1992,158:503-507.
[15]陈洪良,刁显明,杜勇.肾上腺外伤性血肿的CT诊断(附7例动态分析)[J].中国医学影像学杂志,2002,10(2):112-114.Chen HL,Diao XM,Du Y.CT diagnosis of adrenal traumatic hematoma(dynamic analysis report of 7 cases)[J].Chinese Journal of Medical Imaging,2002,10(2):112-114.
[16]Lykissas MG,Galanis SH,Borodimos AC,et al.CT diagnosis of acute adrenal insufficiency due to bilateral adrenal haemorrhage[J].European Journal of Radiology,2006,57:31-33.
[17]李民,王藏海.肾上腺肿瘤的CT及MRI表现评价[J].河北医药,2003,25:749-750.Li M,Wang ZM.CT and MRI evaluation of adrenal tumors[J].Hebei Medical Journal,2003,25:749-750.
[18]邵剑波,杨敏洁.儿科影像病例点评200例[M].北京:北京大学医学出版社,2013:364-364.Shao JB,Yang MJ.Pediatric imaging case review[M].Beijing:Peking University Medical Press,2013:364-364.