Nghiem H V, Jeffrey R B, Mindelzun R E
Department of Radiology, University of Washington Medical Center, Seattle 98195, USA.
Semin Ultrasound CT MR. 1995 Apr;16(2):82-90. doi: 10.1016/0887-2171(95)90001-2.
Injuries to the bowel and mesentery are found in approximately 5% of all patients undergoing laparotomy after blunt abdominal trauma. Bowel and mesenteric injuries are often subtle and difficult to diagnose, and a delay in the diagnosis is associated with increased mortality and morbidity. CT is the best imaging method for diagnosing injuries to the bowel and mesentery. With meticulous scanning techniques, most significant bowel and mesenteric injuries can be reliably identified with CT preoperatively, and associated injuries to other abdominal viscera can be confirmed.
在所有因钝性腹部创伤接受剖腹手术的患者中，约5%会出现肠和肠系膜损伤。肠和肠系膜损伤往往很隐匿，难以诊断，诊断延迟与死亡率和发病率增加相关。CT是诊断肠和肠系膜损伤的最佳影像学方法。采用细致的扫描技术，大多数严重的肠和肠系膜损伤在术前通过CT就能可靠地识别出来，还能确认其他腹部脏器的相关损伤。
