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相關文獻
- MDCT of Blunt Abdominal Trauma: The Correlation of Extraluminal Air, Fluid, and Unexplained Fluid with Bowel Perforation
- Blunt Abdominal Trauma with Retroperitoneal Teratoma Rupture: A Case Report and Computed Tomography Diagnosis
- The Value and Role of Computed Tomography in Blunt Injury of the Abdomen
- CT Diagnosis of Non-solid Organ Injury in Patients with Blunt Abdominal Trauma
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- Pitfalls in CT Evaluation of Blunt Abdominal Injury
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- 誤吞果核的電腦斷層與腹腔鏡影像表徵--病例報告
頁籤選單縮合
題 名 | MDCT of Blunt Abdominal Trauma: The Correlation of Extraluminal Air, Fluid, and Unexplained Fluid with Bowel Perforation=腹部創傷病患的多層螺旋電腦斷層:腹腔腸道外空氣,液體以及來源無法解釋的液體和腹部鈍傷造成腸穿孔的相互關係 |
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作 者 | 顧逸康; 黃耀祥; 王俐人; 方禎鋒; 林炳川; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 32:2 2007.06[民96.06] |
頁 次 | 頁57-62 |
分類號 | 416.14 |
關鍵詞 | 腹部鈍傷; 腸穿孔; 電腦斷層; |
語 文 | 英文(English) |
中文摘要 | 比較腹部鈍傷造成的腸穿孔與電腦斷層上顯示腹腔腸道外空氣,液體以及在沒有腹部臟器受傷情況下來源無法解釋的液體的相關性。 在30 個月的期間,總共記錄了394 位腹部創傷病患的CT 表現,並且進一步回顧這些病患的腸道損傷、治療的選擇及預後。然後把腹部鈍傷造成的腸穿孔與電腦斷層上顯示腹腔腸道外的空氣,液體以及來源無法解釋的液體之相互關係做進一步的分析,並計算出各項電腦斷層徵像的診斷價值和概似比。 在394 個電腦斷層掃描中,22 人有腸道外的空氣,259 人有腸道外的液體以及82 人有不能解釋的腸道外的液體。腹部鈍傷造成的腸穿孔出現在24 位病人,和電腦斷層檢查腸道外出現空氣在統計學上有顯著的相關性(p<0.001),而且和腸道外液體(p= 0.001 )以及來源無法解釋的液體(p<0.001 )也都有統計學上有顯著的相關性。腹腔腸道外的空氣,液體以及來源無法解釋的液體的概似比分別是32.9,1.5 和3.1 。腸道外的空氣有最高的特異性(98.1% )但敏感性(62.5% )低。腹腔腸道外的液體有最高的敏感性(95.8% )但特異性(36.2% )低,比較起來,在腹部臟器沒有受傷情況下,出現在腹腔內不能解釋的液體比單純的腹腔腸道外液體有著更高的特異性(73.3% vs. 36.2%)。 在螺旋電腦斷層掃描中出現腹腔腸道外空氣或是液體都和腹部鈍傷造成的腸穿孔有顯著的相關。腹腔內出現腸道外空氣是一項特異的指標且需要立即進行外科手術治療,而出現不能解釋的腹腔內液體則應該進一步評估,例如進行診斷性腹膜灌洗術去進一步評估是否有腸穿孔。 |
英文摘要 | To correlate blunt bowel perforation with CT findings of extraluminal air, extraluminal fluid, and unexplained extraluminal fluid and determine their diagnostic values. During a study period of 30 months, the CT findings of 394 patients with abdominal trauma were prospectively recorded. A retrospective chart review of these patients for bowel injuries, choice of treatments, and final outcome was performed. The correlation of bowel perforation with CT findings of extraluminal air, extraluminal fluid, and unexplained extraluminal fluid was computed. The diagnostic values and likelihood ratios of these CT findings were determined. Among 394 CT scans, 22 had extraluminal air, 259 had extraluminal fluid, 82 had unexplained extraluminal fluid. Blunt bowel perforation occurred in 24 (6.1%) patients and was significantly correlated with extraluminal air (68.2% vs. 2.4%, p<0.001), extraluminal fluid (8.9% vs. 0.7%, p=0.001), as well as unexplained extraluminal fluid (23.2% vs. 2.3%, p<0.001). The likelihood ratio of positive extraluminal air, extraluminal fluid, and unexplained extraluminal fluid for bowel perforation was 32.9, 1.5, and 3.1 respectively. Extraluminal air had the highest specificity (98.1%) but low sensitivity (62.5%), extraluminal fluid had the highest sensitivity (95.8%) but low specificity (36.2%). By comparison, unexplained fluid in the absence of solid organ injury had a higher specificity than unspecified extraluminal fluid (73.3% vs. 36.2%). The presence of extraluminal air or fluid on trauma CT is significantly correlated with blunt bowel perforation. Extraluminal air is specific and warrants immediate surgical attention, whereas unexplained fluid should initiate aggressive work-up such as diagnostic peritoneal lavage for clarifying bowel perforation. |
本系統中英文摘要資訊取自各篇刊載內容。