摘要
目的 探讨脾损伤的CT分级诊断。资料与方法 脾损伤 98例 ,均为伤后 4 8h内行CT扫描 ,其中 8例行增强扫描。结果 CT分级的手术符合率为 78.3 %、6 6 .1 %、73 .5 %。非手术治愈 1 5例 ,1～ 5级分别为 1 0、4、1、0和0例。CT误诊 3例 ,CT表现均属 1级。结论 脾损伤CT分级有助于临床治疗方案的选择 。
Objective To discuss CT grading of splenic injuries. Materials and Methods Plain CT scanning was performed in 98 patients of splenic injuries within 48 hours after injury. Among them, additional enhanced CT scan was done in 8 cases.Results In three doctors' diagnostic results, the coincidence rate of CT grading with surgical results was 78.30%, 66.1% and 73.5%, respectively. Fifteen patients were cured with conservative treatment, of which CT grade 1 to 5 was seen in 10, 4, 1, 0, and 0 cases, respectively. Misdiagnosis occurred in 3 cases, all of which were classified in grade 1.Conclusion CT grading of splenic injuries is helpful for the clinicians to select proper therapy. Besides, enhanced scanning is more useful.
出处
《临床放射学杂志》
CSCD
北大核心
2002年第6期443-444,共2页
Journal of Clinical Radiology
关键词
脾损伤
CT
分级诊断
诊断
Splenic injury Grading Tomography, X ray computed
