本文選題：創(chuàng)傷性脾破裂 + 增強(qiáng)CT�。� 參考：《中國超聲醫(yī)學(xué)雜志》2015年12期

【摘要】：目的通過與增強(qiáng)CT對比,探討超聲造影在創(chuàng)傷性脾破裂診斷和分級中的應(yīng)用,并分析創(chuàng)傷性脾破裂超聲造影定量參數(shù)的臨床價值。方法回顧性分析43例經(jīng)手術(shù)或臨床證實(shí)的創(chuàng)傷性脾破裂患者的超聲造影表現(xiàn),與增強(qiáng)CT比較診斷和分級性能,并分析損傷區(qū)及正常脾實(shí)質(zhì)造影劑到達(dá)時間、達(dá)峰時間、峰值強(qiáng)度、流出時間。結(jié)果 43例創(chuàng)傷性脾破裂患者,超聲造影和增強(qiáng)CT診斷創(chuàng)傷性脾破裂的準(zhǔn)確率均為97.7%,超聲造影分級準(zhǔn)確率為93.0%,增強(qiáng)CT分級準(zhǔn)確率為90.7%,兩種方法統(tǒng)計學(xué)比較差異均無統(tǒng)計學(xué)意義(P0.05);脾破裂損傷區(qū)時間-強(qiáng)度曲線表現(xiàn)為"慢上慢下型",脾破裂各分級損傷區(qū)間及與正常脾組織間造影劑AT、TTP和WT比較差異無統(tǒng)計學(xué)意義(P0.05),脾破裂各分級損傷區(qū)間及與正常脾組織造影劑PI兩兩比較差異有統(tǒng)計學(xué)意義(P0.01)。結(jié)論超聲造影和增強(qiáng)CT在創(chuàng)傷性脾破裂的診斷和分級中有很好的一致性,根據(jù)峰值強(qiáng)度可判斷創(chuàng)傷性脾破裂的嚴(yán)重程度,可為臨床醫(yī)師治療方案的選擇提供幫助。
[Abstract]:Objective to explore the application of contrast-enhanced CT in the diagnosis and grading of traumatic splenic rupture and to analyze the clinical value of quantitative parameters of the contrast-enhanced ultrasonography. Methods the ultrasonographic findings of 43 patients with traumatic splenic rupture confirmed by surgery or clinic were retrospectively analyzed. The diagnostic and grading performances were compared with those of enhanced CT. The time of arrival and peak time of contrast media in the injured area and normal splenic parenchyma were analyzed. Peak intensity, outflow time. Results 43 patients with traumatic splenic rupture, The accuracy of contrast-enhanced CT and contrast-enhanced CT in the diagnosis of traumatic splenic rupture was 97.77.The accuracy of contrast-enhanced CT and contrast-enhanced CT was 93.0 and 90.7 respectively. There was no significant difference between the two methods in the diagnosis of traumatic splenic rupture (P 0.05). The intensity curve showed "slow upper and lower type", and there was no significant difference between each grade injury interval of spleen rupture and the contrast medium ATTTP and WT between spleen rupture and normal splenic tissue (P 0.05), and there was no significant difference between each grade injury interval of spleen rupture and normal splenic tissue angiography. The difference of Pi was statistically significant (P 0.01). Conclusion Contrast-enhanced CT is consistent in the diagnosis and grading of traumatic splenic rupture. According to the peak intensity, the severity of traumatic splenic rupture can be judged, and it may be helpful for clinicians to choose the treatment scheme.
【作者單位】： 廣西醫(yī)科大學(xué)附屬民族醫(yī)院暨廣西壯族自治區(qū)民族醫(yī)院超聲科;
【基金】：廣西壯族自治區(qū)衛(wèi)生廳資助課題(No.Z.2013285)
【分類號】：R445.1;R657.62

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