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多层螺旋计算机断层扫描在穿透性和钝性创伤相关膈肌损伤中的结果评估。

Evaluation of the multi-slice computed tomography outcomes in diaphragmatic injuries related to penetrating and blunt trauma.

作者信息

Turmak Mehmet, Deniz Muhammed Akif, Özmen Cihan Akgül, Aslan Aydın

机构信息

Department of Radiology, Van Special Güven Hospital, Van, Turkey.

Department of Radiology, Health Scıence Unıversity Gazi Yaşargil Education Research Hospital, Diyarbakır, Turkey.

出版信息

Clin Imaging. 2018 Jan-Feb;47:65-73. doi: 10.1016/j.clinimag.2017.08.010. Epub 2017 Sep 6.

Abstract

PURPOSE

Traumatic diaphragmatic rupture is a diagnostic challenge for both surgeons and radiologists and generally occurs secondary to blunt and penetrating trauma of thoracoabdominal region.

MATERIAL AND METHODS

56 patients who underwent surgical procedure due to blunt or penetrating trauma were included to the study.

RESULTS

There were 37 diaphragmatic ruptures in the left side and 19 patients in the right side. The most common radiological finding was "the direct monitoring of defect" (54,3%).

CONCLUSION

Findings suggestive of diaphragmatic rupture must be carefully evaluated in patients with blunt or penetrating thoracoabdominal trauma.

摘要

目的

创伤性膈肌破裂对外科医生和放射科医生来说都是一个诊断难题,通常继发于胸腹部的钝性和穿透性创伤。

材料与方法

本研究纳入了56例因钝性或穿透性创伤而接受手术的患者。

结果

左侧膈肌破裂37例,右侧19例。最常见的影像学表现是“缺损的直接监测”(54.3%)。

结论

对于胸腹部钝性或穿透性创伤患者,必须仔细评估提示膈肌破裂的表现。

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