Querin F, Lutman M
Servizio di Radiologia, Ospedale Civile, Pordenone.
Radiol Med. 1990 Apr;79(4):331-8.
Twenty-one patients with hepatic injuries from blunt abdominal trauma were examined by Computed Tomography (CT). CT findings were correlated with those of plain X-ray films (5), radionuclide scanning (5), US (8), angiography (2), and with the findings of laparoscopy (2), exploratory laparotomy (6), and autopsy (2). CT well defines entity and severity of hepatic injuries, easily distinguishing minor from major ones. Moreover CT, by allowing the measurement of attenuation values, allows the various components of traumatic lesions (blood, clots, necrosis) to be recognized. CT is also useful in monitoring the healing patterns and in following the patients for late complications--e.g., abscess and biloma. After comparing it with other radiological investigation techniques, the authors emphasize the role of CT in defining both type and severity of liver injuries and in helping choose the better therapeutic approach (surgical or conservative). Thanks to its short execution time, to its reproducibility and to its allowing the contemporaneous evaluation of intra- and retroperitoneal organs. CT has become the radiological technique of choice in the patients with liver injuries.
对21例腹部钝性创伤所致肝损伤患者进行了计算机断层扫描（CT）检查。CT检查结果与平片（5例）、放射性核素扫描（5例）、超声（8例）、血管造影（2例）的结果进行了对比，并与腹腔镜检查（2例）、剖腹探查（6例）及尸检（2例）的结果进行了对照。CT能够很好地明确肝损伤的类型和严重程度，很容易区分轻度和重度损伤。此外，CT通过测量衰减值，能够识别创伤性病变的各种成分（血液、血凝块、坏死组织）。CT在监测愈合模式以及随访患者是否出现晚期并发症（如脓肿和胆汁瘤）方面也很有用。在将其与其他放射学检查技术进行比较后，作者强调了CT在明确肝损伤的类型和严重程度以及帮助选择更好的治疗方法（手术或保守治疗）方面的作用。由于其执行时间短、可重复性强以及能够同时评估腹腔内和腹膜后器官，CT已成为肝损伤患者的首选放射学检查技术。
