摘要
目的观察急性闭合性脾损伤的CT诊断结果,探讨其临床价值。方法随机选择2007年2月～2010年2月急性闭合性脾损伤患者80例作为研究对象,均先作B超扫描于左上腹作纵切、横切及斜切扫查,然后使用CT扫描,层厚10mm,层距10mm,连续平扫,从隔顶至肾下极,怀疑脾破裂者做增强扫描。结果本组80例患者均经手术病理证实为外伤性破裂。CT对脾损伤诊断敏感性97.50%、特异性95.50%、准确率95.00%,均高于B超检查的91.67%、92.96%、86.25%(P<0.05)。结论 CT诊断闭合性脾损伤有特异性的声像图表现,可重复进行动态观察,具有无创无痛以及诊断准确率高等优点,因此应作为治疗中的首选检查方法。
Objective To Observe the CT results of acute spleen closed injury and investigate the clinical value Methods The patients with acute closed spleen damage were random selected as the research object from February 2007 to February 2010.80 patients were firstly do B ultrasonic scanning to the left upper abdomen for longitudinal cutting, crosscut and inclined cut scanning, and use the CT scan, 10ram thick layer, layer 10mm, continuous fiat from Saul, from the top to the low pole of the spleen rupture, doubt do enhancement scanning. Results Group of 80 cases were confirmed by surgery for traumatic burst. CT of spleen damage detection sensitiity 97.50%, specificity 95.50%,accuracy 95.00% were higher than B ultrasonic examination of 91.67%, 92.96%, 86.25% （ P 〈 0.05 ）. Conclusion CT have some higher advantages,such as specificity audio-visual performance,can repeated noninvasive dynamic observation, painless and diagnostic accuracy rate ,so we should do it as the preferred examination method in treatment.
出处
《中国现代医生》
2011年第23期80-81,F0003,共3页
China Modern Doctor
