共 13 条
Helical computed tomography of bowel and mesenteric injuries
被引:122
作者:
Killeen, KL
Shanmuganathan, K
Poletti, PA
Cooper, C
Mirvis, SE
机构:
[1] Univ Maryland, Med Syst, Dept Diagnost Radiol, Baltimore, MD 21201 USA
[2] Univ Maryland, Med Syst, Dept Trauma Surg, Baltimore, MD 21201 USA
[3] Ctr Shock Trauma, Baltimore, MD USA
[4] Univ Hosp Geneva, Dept Radiol, Div Diagnost & Intervent Radiol, Geneva, Switzerland
来源:
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE
|
2001年
/
51卷
/
01期
关键词:
intestines;
computed tomography;
trauma;
helical;
abdomen;
injuries;
D O I:
10.1097/00005373-200107000-00005
中图分类号:
R4 [临床医学];
学科分类号:
1002 ;
100602 ;
摘要:
Background: The role of computed tomography in diagnosing hollow viscus injury after blunt abdominal trauma remains controversial,,vith previous studies reporting both high accuracy and poor results. This study was performed to determine the diagnostic accuracy of helical computed tomography in detecting bowel and mesenteric injuries after blunt abdominal trauma in a large cohort of patients. Methods: One hundred fifty patients were admitted to our Level I trauma center over a 4-year period with computed tomographic (CT) scan or surgical diagnosis of bowel or mesenteric injury. CT scan findings were retrospectively graded as negative, nonsurgical, or surgical bowel or mesenteric injury. The CT scan diagnosis was then compared with surgical findings, which were also graded as negative, nonsurgical, or surgical. Results: Computed tomography had an overall sensitivity of 94% in detecting bowel injury and 96% in detecting mesenteric injury. Surgical bowel cases were correctly differentiated in 64 of 74 cases (86%), and surgical mesenteric cases were correctly differentiated from nonsurgical in 57 of 76 cases (75%). Conclusion: Helical CT scanning is very accurate in detecting bowel and mesenteric injuries, as well as in determining the need for surgical exploration in bowel injuries. However, it is less accurate in predicting the need for surgical exploration in mesenteric injuries alone.
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页码:26 / 36
页数:11
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