应用CT及彩超评估非手术脾脏钝性损伤中迟发性脾破裂的临床分析  

Analysis of CT and color Doppler ultrasound in evaluation of delayed rupture of spleen in no-operation manage blunt spleen injury

作　　者：刘嘉文[1] 刘吉盛[1] 吴国刚[1] 刘显义[1] 李博[1] Liu Jiawen;Liu Jisheng;Wu Guogang;Liu Xianyi;Li Bo(Department of General Surgery,General Hospital of Angang Group,Liaoning Anshan 114002)

机构地区：[1]鞍钢集团总医院普通外科,辽宁鞍山114002

出　　处：《中国社区医师》2021年第1期99-100,共2页Chinese Community Doctors

摘　　要：目的:研究应用CT及彩超评估非手术脾脏钝性损伤(NOMBSI)中迟发性脾破裂(DRS)的发生率,探讨NOMBSI和DRS的临床关系。方法:选取脾脏创伤患者475例,分析不同症状、伴发症状、临床表现及病理结果对DRS发生产生的影响。结果:DRS发病时间与病理分期呈正相关(r=0.577,P=0.002)。DRS患者CT检出率为100%,高于彩超检查的56%,差异有统计学意义(P<0.05)。结论:超声检查可以对脾破裂及时做出诊断,但是对于DPS或高危DPS患者其准确性不如CT,但其对临床医生选择合适的治疗方案仍有重要价值。Objective:To study the incidence of delayed rupture of spleen(DRS)in no-operation manage blunt spleen injury(NOMBSI)by CT and color Doppler ultrasound and to explore the clinical relationship between NOMBSI and DRS.Methods:475 cases of spleen trauma were selected,the effect of different symptoms,different accompanying symptoms,different clinical manifestations and different pathological results on DRS's occurrence were analyzed.Results:The onset time of DRS was positively correlated with pathological stage(r=0.577,P=0.002).The CT detection rate of DRS patients was 100%,which was higher than 56%of color Doppler ultrasound examination,and the difference was statistically significant(P<0.05).Conclusion:Ultrasound can diagnose splenic rupture in time,but it is not accurate for DPS or high-risk patients than CT,but it is still of great value for clinicians to choose appropriate treatment.

关 键 词：非手术脾脏钝性损伤 迟发性脾破裂 CT 彩超 

分 类 号：R657.62[医药卫生—外科学]