目的探讨CT对外伤性脾破裂的诊断价值以及对临床治疗的指导意义。方法35例外伤性脾破裂,其中32例经手术证实。35例均做CT平扫,4例加做增强,平均年龄为42岁,男女比例为5?2。结果脾包膜下血肿19例,脾内血肿8例,脾撕裂伤6例,多发性脾撕裂伤2例。结论CT对脾脏破裂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 investigate the diagnostic value of CT in traumatic splenic rupture and its clinical significance. Methods 35 cases of traumatic splenic rupture, of which 32 cases were confirmed by surgery. Thirty-five patients underwent CT scan, and 4 patients underwent CT scan. The mean age was 42 years and the ratio of men to women was 5-2. Results 19 cases of splenic subcapsular hematoma, splenic hematoma in 8 cases, spleen laceration in 6 cases, multiple splenectomy in 2 cases. Conclusion CT can make a definite diagnosis and classification of splenic rupture. It can also detect the damage of organs around the spleen at the same time and provide sufficient basis for clinical treatment.