摘要:目的:探討5·12汶川8.0級(jí)地震中顱面部外傷的影像學(xué)表現(xiàn)特點(diǎn)。方法: 回顧性分析自2008年5月12~31日因地震顱面部外傷在我院行CT、MRI檢查的傷員251例,其中CT檢查248例,MRI檢查16例。結(jié)果:放射檢查陽(yáng)性162例,陽(yáng)性率為64.54%,以40～49歲年齡組最多,為53例,其中男性41例。在放射檢查陽(yáng)性中,多發(fā)傷112例(約69.13%),多類型顱面部外傷同時(shí)并存103例(約63.58%)。主要損傷發(fā)生率依次為軟組織損傷(35.50%),骨折(22.94%),腦挫裂傷(21.21%),硬膜下及硬膜外血腫(10.40%),其它(共約9.92%)。結(jié)論: 地震造成顱面部外傷人群主要為40～49歲中年男性,多發(fā)傷、多類型顱面部外傷多見(jiàn),并以軟組織損傷、骨折、腦挫裂傷、硬膜下及硬膜外血腫較常見(jiàn)。Abstract: Objective: To describe the imaging features of head and face injured patients after the Wenchuan earthquake. Methods: The radiological information of 251 victims who were suspicious of head and face injury and underwent CT or MRI examinations from 12 May to 31 May 2008 was analysed retrospectively. There were 248 and 16 cases underwent CT or MRI examinations respectively. Results: One hundred and sixtytwo cases(64.54% )were positive. There were 53 cases in the 4049 years old age group, of which 41 were male. In patients with positive findings, 112 cases (about 63.58%) were comprised of several types of head and face injury. The incidence of the main injury type included: soft tissue injury (35.50%), fracture (22.94%), cerebral contusion (21.21%), subdural and epidural hematoma (12.40%), others (9.92%). Conclusions: The males with head and face injury in 4049 years old group were the major injured people in this earthquake. Head and face injury accompanied by multiple system injuries, the existence of several types of head and face injury at the same time were common. Among all the injury types, soft tissue injury, fracture, contusion, subdural and epidural hematoma were relatively commom.