NGHIÊN CỨU ĐẶC ĐIỂM HÌNH ẢNH CHẤN THƯƠNG GAN TRÊN CẮT LỚP VI TÍNH TẠI BỆNH VIỆN NHÂN DÂN 115 TP. HỒ CHÍ MINH

Abstract

Introduction: Compurer tomography becoming to widen in Vietnam. From a hepatic trauma perspective, using CT confirms an important role in diagnostic and treatment’s prediction. Purpose: Research for computer tomography feartures of hepatic trauma at 115 People’s Hospital of Ho Chi Minh City. Subjects and Method: crossectional - retrospective study in 51 patients who admited to 115 people’s hospital from 01/2017 to 12/2018 with hepatic blunt, they were performed a computer tomography and treatment. Results: Through research on 51 patients with hepatic trauma at the People's Hospital 115, there are of 70.6% male; women 29.4%; Mean age 33.65 ± 14.17; traffic accidents caused represent 82.4%. Characteristics of hepatic injury on CT: grade III is the most common in 33.3%; Tier II in 25.5%; grade IV in 19.9%; Grade V in 17.6%. The presence of abdominal effusion is the most common sign in 92.1% of the case. There are 137 subsegments with damaged, among which subsegments VI, VII, and VIII had similar injury rates (58.8–64.7%). The left liver injuries have a severe injury level from level IV to level V. Comparing the morphology of liver injuries with the AAST classification, liver laceration rate in 7.8%; Liver contusion in 35.3%; laceration: 56.9%, of which grade V has the highest liver laceration rate at 88.9%. Signs of subcapsule hematoma was in 19.6%; parenchymal hematoma were in 13.7%; contrast leakage 11.8%; venous drainage 7.8%. Combined abdiminal organic asociated damage 39.2%. Connclusion: Contrast-enhanced CT helps to accurately determine the location and degree of trauma liver lesion, finding abdominal organ associated injuries, bring some benefits interms of diagnostic and traeatment.