Abstract:
Objective To evaluate the double spiral CT enhanced scanning in the diagnosis of blunt hepatic injury and its clinical significance.
Methods Retrospective analysis of CT signs of 75 blunt hepatic injury cases with whole clinical data from September 2006 to Augest 2009.
Results In 75 cases scanned by CT, 61 cases were found clear hepatic injury(81.33%), 9 cases with liver capsule rupture(12.00%), and 14 cases with suspicious damage of liver(18.67%). Enhanced Scanning: portal venous phase clearly indicated that 17 cases with liver capsule rupture, all the 14 cases with suspicious injuries indicated relatively low-density contusion lesion.
Conclusions Double-helical CT scans portal venous phase enhanced to more accurately determine the presence of liver injury and be CT grade; in particular, rupture of the liver capsule and hepatic parenchymal injury in the small kitchen obvious display of more valuable.
Key words:
Hepatic Injury,
Double spiral CT,
Enhanced scanning
Shao-ping HU, Hong-wen YU. Double spiral CT enhanced scanning for the diagnosis of blunt hepatic injury[J]. Chinese Archives of General Surgery(Electronic Edition), 2010, 04(05): 465-468.