摘要
脾损伤在腹部闭合性损伤中最常见,如得不到及时救治,脾脏损伤后出现的大出血常可致患者很快休克甚至死亡,所以及时诊断对临床治疗有重要意义。本研究选择临床典型病例,对患者行CT诊断性扫描,分析影像下征象及诊断情况,得出CT对外伤性脾破裂的诊断价值。结果,平扫可明确脾破裂者52例,可疑脾破裂的6例,未见明显异常的5例,诊断敏感性92.1%、特异性82.5%。增强扫描后可疑及完全阴性病例患者均能明确诊断为脾破裂,敏感性100%,特异性100%。所以,CT作为一种非损伤性检查手段,能迅速、准确评估脾损伤程度及出血的部位、大小以及腹腔伴随性损伤,对外伤性脾破裂的诊断有较高的敏感性和特异性。
The spleen injury is the most common closed abdominal injury,such as can not get timely treatment,patients with spleen injury after bleeding often can cause shock and even death soon,so that timely diagnosis has important significance to clinical treatment.Choose clinical typical cases,this study on patients with CT scanning,image analysis of signs and its diagnosis,it is concluded that value of CT in the diagnosis of traumatic spleen rupture.As a result,the scan can be clearly spleen rupture of 52 cases,6 cases suspected of spleen rupture,not seen obvious abnormity in 5 cases,diagnostic sensitivity 92.1%,specificity of 82.5%.Enhanced scan suspicious and completely negative cases patients after all can clear diagnosis of splenic rupture,sensitivity 100%,specificity of 100%.So,CT as a non-invasive examination means,can quickly and accurately assess the spleen damage degree and the bleeding site,size,and the abdominal cavity of concomitant injuries,the diagnosis of traumatic splenic rupture has higher sensitivity and specificity.
出处
《影像视觉》
2016年第1期10-11,共2页
Image Materials
关键词
CT
创伤性脾破裂
诊断价值
CT
Traumatic spleen rupture
Diagnostic value
