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目的 探讨CT增强扫描在外伤性脾破裂诊断中的应用价值。方法 对 34例经手术证实为外伤性脾破裂患者的CT平扫及增强扫描表现进行回顾性分析。结果 34例患者中,手术前CT平扫能肯定脾破裂诊断的 23例、可疑脾破裂诊断的 6例、未见异常的 5例(敏感性 85. 3%、特异性 67. 6% );对以上所有患者行CT增强扫描后,全部患者均能确诊为脾破裂(敏感性 100%、特异性 100% )。结论 增强扫描在外伤性脾破裂的CT诊断中非常重要,它能够明显提高诊断准确率,为临床治疗提供可靠依据。
Objective To investigate the value of CT enhanced scan in the diagnosis of traumatic splenic rupture. Methods A retrospective analysis was performed on the CT scan and enhanced scan of 34 patients with traumatic rupture. Results Of the 34 patients, 23 cases were confirmed by CT scan before operation, 6 cases were diagnosed as suspected splenic rupture, 5 cases were not abnormal (sensitivity 85.3%, specificity 67.6%). All patients underwent CT enhanced scan, all patients can be diagnosed as splenic rupture (sensitivity 100%, specificity 100%). Conclusions Enhanced scan is very important in CT diagnosis of traumatic splenic rupture. It can significantly improve the diagnostic accuracy and provide a reliable basis for clinical treatment.