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创伤性膈疝的影像诊断 被引量:1

Traumatic diaphragmatic hernia's imaging diagnosis
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摘要 目的:探讨X线、胃肠钡餐、CT和人工气腹检查对诊断创伤性膈疝的重要价值。方法:回顾性分析10例经手术证实的膈疝的X线、CT胃肠钡餐和人工气腹表现,并与手术病理对照。结果:10例膈疝患者中,全部病例均作常规胸部正侧位X线摄片检查;8例患者经胃肠造影或CT扫描见膈面上出现钡剂充盈的胃肠道影或胸腔内见胃、肠管、网膜等结构可以诊断,另2例患者施行人工气腹检查可见气胸征象。结论:常规X线胸片、胃肠造影、CT、人工气腹等多种影像检查手段结合,可提高创伤性膈疝的诊断率。 Objective:To approach the significant value of imaging diagnosis on traumatic diaphragmatic hernia. Methods: Retrospectively analyzed 10 cases traumatic diaphragmatic hernia confirmed by operation of the diaphragmatic hernia patient's X-ray or CT findings and results of operations and controlled. Results: Diaphragmatic hernia patients in 10 cases, all cases were being lateral chest for conventional X-ray inspection; 8 cases of patients may be gastrointestinal imaging or CT scan confirmed another two cases of patients implementation of pneumoperitoneum after inspection to make a diagnosis. Conclusion: Chest film, gastrointestinal contrast, artificial pneumoperitoneum, CT and other imaging instruments, the combination can improve the diagnosis rate.
出处 《中国医药导报》 CAS 2009年第16期115-117,共3页 China Medical Herald
关键词 创伤性膈疝 X线检查 胃肠造影 人工气腹 CT Traumatic diaphragmatic hernia X-ray examination Contrast Gastrointestinal Artificial pneumoperitoneum CT
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  • 1吴阶平 裘法祖 等.黄家驷外科学(第6版)[M].北京:人民卫生出版社,2000.1110-1112.
  • 2吴阶平,黄家驷外科学(第6版),2000年,1495页
  • 3Bergin D,Ennis R,Keogh C et al.The "Dependent Viscera" sign in CT diagnosis of blunt traumatic diaphragmatic rupture.AJR,2001,177(5):1137

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