80例急性闭合性脾损伤CT诊断价值分析.docVIP

80例急性闭合性脾损伤CT诊断价值分析 　　[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。 　　[关键词]急性；腹部；闭合性损伤；CT 　　[中图分类号] R657.62 [文献标识码] B [文章编号] 1673-9701（2011）23-80-02 　　 　　CT Diagnostic Value of Acute Closed Spleen Damage 　　HUANG Wen 　　Department of Radiology，the Second Peoples Hospital of Yuyao City in Zhejiang Province，Yuyao 315400，China 　　 　　[Abstract] 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, 10mm thick layer, layer 10mm, continuous flat 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. 　　[Key words] Acute；Abdomen；Blunt injury；CT 　　 　　脾脏因质脆易破，左季肋部受外力作用时最易造成脾脏损伤，直接引起脾破裂，脾内血肿及包膜下血肿[1]，CT影像诊断对脾破裂具有很高的特异性及敏感性，能明确脾损伤的程度???范围，了解周围组织器官的受损情况及腹腔内的出血量，为临床提供良好的诊断与治疗依据[2]。本文回顾性分析急性闭合性脾损伤患者的CT诊断资料，探讨其CT图像特征，现报道如下。 　　1 对象与方法 　　1.1 研究对象 　　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，男/女比例为45/35，年龄最小13岁，最大72岁，平均（36.23±11.41）岁，受伤原因包括车祸外伤、拳击伤、坠落伤、刀伤等，临床表现为左上腹疼痛、腹胀、恶心呕吐、血