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外伤性脾破裂的螺旋CT诊断(附36例分析)
引用本文:温建逸,韦志武,苏永光. 外伤性脾破裂的螺旋CT诊断(附36例分析)[J]. 实用医学影像杂志, 2009, 10(6): 376-377
作者姓名:温建逸  韦志武  苏永光
作者单位:广西南宁市第八人民医院放射科,广西,南宁,530003
摘    要:目的评价螺旋CT在外伤性脾破裂诊断中的价值。方法收集我院2001年5月至2008年10月36例明确诊断为脾破裂的CT资料进行分析。结果CT平扫发现脾破裂20例,脾包膜下破裂出血10例,3例CT平扫阴性经作增强扫描证实,3例为迟缓性出血。结论CT扫描有利于对外伤性脾破裂的及时诊断,有利于指导临床治疗。

关 键 词:脾破裂  螺旋CT  对比增强扫描

Application of spiral CT in the diagnosis of traumatic splenic rupture: an analysis of 36 cases
Wen Jianyi,Wei Zhiwu,Su Yongguang. Application of spiral CT in the diagnosis of traumatic splenic rupture: an analysis of 36 cases[J]. Journal of Practical Medical Imaging, 2009, 10(6): 376-377
Authors:Wen Jianyi  Wei Zhiwu  Su Yongguang
Affiliation:(Department of Radiology, Guangxi Nanning Municipal Eighth People's Hospital,Nanningshi 530003, China)
Abstract:Objective To assess the clinical application of spiral CT in the diagnosis of traumatic splenic rupture. Methods CT data of 36 patients with clinically-definitely diagnosed splenic rupture were collected from May 2001 to October 2008 in our hospital and retro-spectively analyzed. Results Among 36 cases, CT plain scans showed splenic rupture in 20, subcapsular hemorrhage in 10; Contrast-en-hanced CT scans detected splenic rupture in 3, which was negative on CT plain scan, while delayed hemorrhage were found in 3 cases. Conclusion CT scanning is beneficial to diagnose timely the traumatic splenic rupture and to guide the clinical treatment.
Keywords:Splenic rupture  Spiral CT  Contrast-enhanced scan
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