脾破裂的超声诊断

Ultrasound diagnosis of splenic rupture

目的:探讨脾破裂超声诊断的方法和临床意义。方法:收治脾破裂患者42例,分析超声诊断结果。结果:16例真性脾破裂,14例脾包膜下破裂,10例中央性破裂,2例漏诊,经手术证实为真性脾破裂,超声正确诊断率95.2%。急诊超声对腹腔内出血的检出率100%。结论:超声检查简便、无创,为可重复检查,超声在诊断脾破裂中准确率较高,是诊断脾破裂的首选方法。

Objective:To discuss the clinical significance of ultrasound diagnosis of splenic rupture.Methods:42 patients with splenic rupture were selected,analyzing the ultrasound diagnosis.Results:16 cases of true rupture of spleen,14 cases of splenic subcapsular rupture,10 cases of rupture of the central,2 cases of misdiagnosis and surgically confirmed true splenic rupture,ultrasound diagnosis rate was 95.2%.The detection rate of emergency ultrasound for intraperitoneal hemorrhage was 100%.Conclusion:The ultrasonic examination is simple,noninvasive and can be repeated,and ultrasonic is the best method for diagnosis of splenic rupture,and it is the first choice for diagnosis of splenic rupture.