外伤性脾破裂的螺旋CT诊断(附36例分析)  

Application of spiral CT in the diagnosis of traumatic splenic rupture:an analysis of 36 cases

作　　者：温建逸 韦志武 苏永光 

机构地区：[1]广西南宁市第八人民医院放射科,广西南宁530003

出　　处：《实用医学影像杂志》2009年第6期376-377,共2页Journal of Practical Medical Imaging

摘　　要：目的评价螺旋CT在外伤性脾破裂诊断中的价值。方法收集我院2001年5月至2008年10月36例明确诊断为脾破裂的CT资料进行分析。结果CT平扫发现脾破裂20例,脾包膜下破裂出血10例,3例CT平扫阴性经作增强扫描证实,3例为迟缓性出血。结论CT扫描有利于对外伤性脾破裂的及时诊断,有利于指导临床治疗。Objective To assess the clinical application of spiral CT in the diagnosis of traumatic splenic rupture. Methods CT data of 36 patients with clinically-definitely diagnosed splenic rupture were collected from May 2001 to October 2008 in our hospital and retro-spectively analyzed. Results Among 36 cases, CT plain scans showed splenic rupture in 20, subcapsular hemorrhage in 10; Contrast-en-hanced CT scans detected splenic rupture in 3, which was negative on CT plain scan, while delayed hemorrhage were found in 3 cases. Conclusion CT scanning is beneficial to diagnose timely the traumatic splenic rupture and to guide the clinical treatment.

关 键 词：脾破裂 螺旋CT 对比增强扫描 

分 类 号：R657.6[医药卫生—外科学] R816.5[医药卫生—临床医学]