| 多层螺旋CT对外伤性脾破裂的诊断准确性 |
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| 引用本文： | 茅旭平,陆建东,姚群立,陈晓宇,张志国.多层螺旋CT对外伤性脾破裂的诊断准确性[J].实用医学影像杂志,2011,12(3):185-187,201. |
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| 作者姓名： | 茅旭平 陆建东 姚群立 陈晓宇 张志国 |
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| 作者单位： | 江苏省张家港市中医医院放射科,江苏,张家港,215600 |
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| 摘 要： | 目的评价多层螺旋CT对外伤性脾破裂的诊断准确性。方法 55例由临床与手术证实的外伤性脾破裂患者均经多层螺旋CT(MSCT)平扫,其中20例又经对比增强CT扫描。对所有患者的CT表现进行了回顾性分析。结果在55例中,起初CT平扫正确诊断50例(90.9%)外伤性脾破裂。增强扫描的20例全部(100%)得到正确诊断。在CT平扫像上,外伤性脾破裂主要表现为脾脏肿大、形态不规则、密度不均匀、边缘模糊及弧形高密度影,而CT增强扫描显示了脾脏内或表面不规则撕裂口、脾内未强化血肿及假性动脉瘤形成。49例(89.1%)患者伴发腹腔积液。早期或轻微脾破裂时,腹腔积液主要见于左侧结肠旁沟及道格拉斯窝。38例(69.1%)患者合并其他脏器或组织损伤。结论多层螺旋CT在外伤性脾破裂的诊断中,具有安全、快速、准确率高等优势。在患者病情许可的条件下,对比增强扫描可提高诊断准确率及合并症的检出率,并能正确分型,为临床选择治疗方案提供可靠依据。
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| 关 键 词： | 脾破裂 体层摄影术 X线计算机 增强扫描 |
Diagnostic accuracy of MSCT for traumatic splenic rupture |
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| Mao Xuping,Lu Jiandong,Yao Qunli,Chen Xiaoyu,Zhang Zhiguo.Diagnostic accuracy of MSCT for traumatic splenic rupture[J].Journal of Practical Medical Imaging,2011,12(3):185-187,201. |
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| Authors: | Mao Xuping Lu Jiandong Yao Qunli Chen Xiaoyu Zhang Zhiguo |
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| Institution: | Mao Xuping,Lu Jiandong,Yao Qunli,Chen Xiaoyu,Zhang Zhiguo.Department of Radiology,Jiangsu Provincial Zhangjiagang Municipal Traditional Chinese Medicine Hospital,Zhangjiagangshi 215600,China |
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| Abstract: | Objective To evaluate the diagnostic accuracy of multislice spiral CT(MSCT) for traumatic splenic rupture(TSR).Methods Fifty-five patients with clinically and surgically proved TSR underwent precontrast MSCT scans of the abdomen,of whom,20 cases underwent additional contrast-enhanced MSCT scans.CT findings of all the patients were analyzed retrospectively.Results Among 55 patients,initial plain CT scans correctly diagnosed 50(90.9%) cases.Twenty patients who underwent contrast-enhanced MSCT scans were compl... |
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| Keywords: | Splenic rupture traumatic Tomography X-ray computed Enhanced scan |
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