脾损伤CT分级与手术中分级对照  

Comparative analysis of computed tomography and operative findings in splenic injuries

作　　者：冷建军[1] 吴贵华[2] 林大富[1] 郭明[1] 涂永久[1] 孔悦[1] 袁思波[1] 高传文[1] 

机构地区：[1]解放军第174医院普外科,厦门361003 [2]解放军第174医院放射科,厦门361003

出　　处：《腹部外科》2001年第4期213-214,共2页Journal of Abdominal Surgery

摘　　要：目的　探讨CT检查对脾损伤分级的准确性。方法　对照分析 5 6例脾损伤的CT检查分级与临床手术发现。结果　CT分级与手术分级对照 2 7/ 5 6例相符 ,总体符合率 95 %置信区间估计值为 (4 8.2 1± 7.45 ) % ,Ⅲ级以上总体符合率估计值为 (6 2 .96± 8.14) % ;CT分级偏高 14/ 5 6例 ,总体估计值为 (2 5 .0± 6 .17) % ;偏低者 15 / 5 6例 ,总体估计值为 (2 6 .79± 6 .6 3) % ;假阳性和假阴性各 1例。结论　CT检查对脾损伤的严重程度及临床具体治疗措施的采取指导意义尚不能肯定 ,临床上应密切观察病人血流动力学状态 ,制定个体化治疗措施。Objective To study the accuracy of computed tomographic grading to splenic injury.Methods The differences between computed tomograpic grading and operative findings in 56 cases of splenic injury were comparatively analyzed.Results Comparison of the CT grading with the operative findings showed that the result was identical in 27/56.The general estimating accuracy in 95% believing gap was ( 48.21 ± 7.45 )%,and to the patients whose CT grading was more than grade Ⅲ, it was increased to ( 62.96 ± 8.14 )%; As compared with the operative findings, the CT grading was overestimated in 14/56, underestimated in 15/56, and both of the false positive and false negative was 1/56.Conclusion The significance of computed tomographic grading guidance to the severity diagnosis and management of splenic injury is indefinite.

关 键 词：CT 脾损伤 分级 外科手术 

分 类 号：R657.62[医药卫生—外科学]