脾损伤的多层螺旋CT诊断

MSCT diagnosis of spleen injury

目的探讨脾损伤多层螺旋CT表现及诊断价值。方法对35例脾损伤的多层螺旋CT与外科手术所见的资料进行回顾性分析。结果完全性破裂8例,中心破裂10例,脾内血肿15例,9例包膜下破裂。其CT表现为脾撕裂伤、脾内血肿、包膜下血肿、脾周血肿及腹腔积血,同时发现5例合并肝、肾、肋骨、脊柱等损伤。结论多层螺旋CT对脾损伤能做出明确诊断和分型,也可同时发现脾脏周围器官的损伤,为临床治疗方案提供充分的依据。

Objective To evaluate MSCT （Multislice computed tomography） features and its diagnostic value of spleen injury. Methods The CT images combined with surgical findings of 35 cases with spleen injury due to various factors were retrospectively reviewed. Results 8 cases were completely spleen rupture, 10 were central spleen rupture, 15 were spleen hematoma, and 9 were subcapsular hematoma. MSCT demonstrated lacerated injury of spleen, hematoma in spleen, subcapsular hematoma, hematoma surrounding spleen and hematoma in peritoneum. In addition, MSCT showed 5 cases with concomitant liver, renal, rib or spine damage. Conclusion MSCT is a rapid and effective method in detecting spleen injury. It is very important for the classification of injury. It can show injuries of other organs at the same time and can provide abundant basis for the operative therapy.