摘要
目的探讨超声造影在脾脏外伤诊断中的价值。方法分析临床疑诊的45例脾脏外伤患者的超声造影与临床表现。结果45例患者中经CT或手术证实脾损伤42例,其中常规超声检出31例,超声造影检出40例;常规超声诊断脾外伤的敏感性73.8%,特异性33.3%,准确性71.1%;超声造影诊断脾外伤的敏感性95.2%,特异性66.7%,准确性93.3%。两种方法诊断脾外伤的敏感性、特异性、准确性比较,差异有非常显著性(P<0.01)。结论超声造影作为一种非损伤性检查手段,能迅速、准确评估脾损伤程度,但也应认识到其局限性。
Objective To evaluate the value of contrast - enhanced ultrasound （CEUS） in the diagnosis of spleen trauma. Methods CEUS manifestations and clinical data of 45 patients suspected as spleen trauma were analyzed retrospectiverly. Results In 45 eases, 42 patients were confirmed as spleen trauma by CT or surgery, 31 and 40 spleen lesions were respectively detected by ultrasonography（US） and CEUS, the sensitivity, specificity and accuracy of US and CEUS were 70.0%, 40.0% and 66.7%; 92.9%, 66.7 % and 91.1%, respectively. There was statistically significant difference between US and CEUS（ P 〈 0.01 ）. Conchlsion As a non - damage detection method, CEUS can rapidly and accurately assess the degree of spleen trauma, however its limitation should also be understood.
出处
《临床超声医学杂志》
2008年第7期461-463,共3页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
造影剂
脾脏
外伤
Ultrasonography
Contrast media
Spleen
Trauma
