ĐẶC ĐIỂM HÌNH ẢNH CẮT LỚP VI TÍNH ĐA DÃY CHẤN THƯƠNG GAN TẠI BỆNH VIỆN VIỆT ĐỨC

Abstract

Objectives: study the imaging characteristics of MSCT liver trauma at Viet Duc Hospital. Subjects and methods: A cross-sectional descriptive study was conducted on patients with liver trauma who underwent MSCT at Viet Duc Hospital in March and April 2023. Results: The study included 95 patients (75 males) with a mean age of 36.2 ± 15.95 years (ranging from 10 to 73 years). Traffic accidents were the most common cause, accounting for 78% (74/95) of cases. The most frequent injury on MSCT was parenchymal contusion with 71.6% (68/95) of patients, with small contusions involving <25% of hepatic segment being the most common, accounting for 54.7% of cases. Parenchymal lacerations were present in 60% (57/95) of patients, with lacerations >3cm being the most common, accounting for 42.1% of cases. According to AAST 2018, the common grades were grade III (40%, 38 patients) and grade II (35%, 33 patients). Associated injuries in liver trauma were chest trauma in 61.1% (58/95) of patients, head trauma in 41.1% (39 patients), and adrenal trauma in 32.6% (31 patients). Conclusion: MSCT is a reliable examination for detecting liver injuries and associated injuries in liver trauma.