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螺旋CT应用于闭合性脾脏损伤的诊断和治疗的临床价值分析

史世奎 牟明燕

四川医学2012,Vol.33Issue(5):883-884,2.
四川医学2012,Vol.33Issue(5):883-884,2.

螺旋CT应用于闭合性脾脏损伤的诊断和治疗的临床价值分析

Spiral CT used in the diagnosis and treatment of closed spleen damage

史世奎 1牟明燕1

作者信息

  • 1. 重庆市荣昌县人民医院放射科,超声科,重庆402460
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摘要

Abstract

To explore the spiral CT in closed spleen damage diagnosis and treatment of clinical value guidance. Methods 2003 years April to May 2011, of the 80 cases of patients with closed spleen injured, we use ultrasonic and clinical data were analyzed retrospectively, compared with the diagnostic accordance rate of ultrasonic CT. Results The spleen damage CT: level I level included subcapsular hematoma (29 cases), Ⅱ level (spleen peripheral tear) in 23 cases, Ⅲ level (spleen essence tear) in 19cases, IV level (spleen rupture) comminuted 9 cases, of which level I and some Ⅱ 44 cases level underwent conservative treatment successfully, and the rest of 36 patients underwent surgical treatment. Preoperative diagnosis was 95.0% , CT is significantly higher than the ultrasound 82.5% P <0.05; CT prior to the other united injury rate is higher than that of ultrasound. Conclusion CT examination in blunt is not only high damage preoperative diagnosis with spleen, but also has certain directive significance, which is the first choice for the damage of closed spleen.

关键词

X-线计算机/体层摄影术/脾脏/损伤/诊断

Key words

X-ray computer/ tomography/ the spleen/ damage/ diagnosis

分类

医药卫生

引用本文复制引用

史世奎,牟明燕..螺旋CT应用于闭合性脾脏损伤的诊断和治疗的临床价值分析[J].四川医学,2012,33(5):883-884,2.

四川医学

OACSTPCD

1004-0501

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