脾外伤的CT诊断与损伤分级的临床意义

目的探讨脾外伤的CT诊断及分级的临床意义。方法回顾分析12例经手术证实脾外伤患者,术前均行CT检查。结果脾外伤性破裂的常见CT表现有脾周新月形密度异常区、脾内类圆形或斑片状高密度影、脾实质内线状不规则低密度影等;增强扫描脾实质明显强化,而血肿不强化或强化密度明显低于正常脾脏或肝脏密度。结论 CT平扫及增强扫描能显示脾外伤性破裂的部位及范围,并能明确脾脏损伤程度分级。

Clinical significance of CT diagnosis and grading of splenic trauma

Objective To investigate the clinical significance of the CT diagnosis and grading of the splenic trauma.Methods The CT performance and the clinical data of splenic injury were retrospectively analyzed in 12 cases confirmed by surgery,and all patients were performed CT examination before surgery.Results The common CT manifestations of traumatic rupture of spleen had crescent-shaped abnormal density area around spleen,round or patchy high density,irregular linear shadow low-density in splenic parenchyma in p...