多排螺旋CT评价钝性脾脏损伤临床价值的研究进展  

Research progress in clinical value of multidetector computed tomography in evaluating blunt splenic injury

作　　者：唐小林 张伟国 Tang Xiaolin;Zhang Weiguo(Department of Radiology,Daping Hospital,Army Medical University,Chongqing 400042,China;Chongqing Clinical Medicine Research Center of Imaging Medicine and Nuclear Medicine,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院放射科,重庆400042 [2]重庆市影像医学与核医学临床医学研究中心,400042

出　　处：《中华创伤杂志》2020年第10期938-943,共6页Chinese Journal of Trauma

基　　金：重庆市影像医学与核医学临床医学研究中心(CSTC2015YFPT-gcjsyjzx0175);中央引导地方科技发展专项资金(YDZX20175000004270)。

摘　　要：脾脏是最易损伤的腹部实质脏器。放射科医师准确检测、诊断及评价脾实质及血管损伤的严重程度对于临床治疗策略的选择至关重要。多排螺旋CT(MDCT)是血流动力学稳定患者的首选检查方法。美国创伤外科学会-器官损伤分级(AAST-OIS)分级是目前使用最为广泛的基于脾脏实质损伤并指导临床治疗的工具。笔者从钝性脾脏损伤患者的MDCT诊断、AAST-OIS分级及治疗方式选择、预后评估及影像学随访等方面进行综述,为放射科医师及创伤外科医师提供更多帮助。The spleen is the most vulnerable abdominal parenchymal organ.Accurate detection,diagnosis and evaluation of the severity of splenic parenchyma and vascular injury by radiologists is crucial for selection of clinical treatment strategies.Multidetector computed tomography(MDCT)is the first choice for hemodynamically stable patients.The American Association for Surgery of Trauma Organ Injury Scale(AAST-OIS)scale is the most widely used tool to guide clinical treatment based on spleen parenchymalinjury.The authors conduct a review from aspects of MDCT diagnosis,AAST-OIS classification and treatment,prognosis evaluation and imaging follow-up of patients with blunt splenic injury,in order to provide more help for radiologists and trauma surgeons.

关 键 词：脾 腹部损伤 体层摄影术 螺旋计算机 血管损伤 

分 类 号：R657.6[医药卫生—外科学] R816.3[医药卫生—临床医学]