CAJ | 학술논문

目的：探讨多层螺旋 CT 对外伤性肝脾破裂的诊断价值。方法对140例临床表现为肝脾损伤并手术证实的患者,回顾性分析多层螺旋 CT 检查资料并与临床对比分析。结果肝脾损伤多层螺旋 CT 表现为肝脾撕裂伤、肝脾内血肿及肝脾包膜下血肿。140例肝脾损伤中,男性多于女性,高发龄10~30岁,致伤原因以车祸伤及高处坠落伤最多,140例肝脾损伤病例中,脾脏损伤69例,占49%,肝脏损伤51例,占36%,肝脾同时损伤20例,占14%。结论多层螺旋 CT 外伤性肝脾破裂诊断价值高,有助于制定临床治疗方案。
목적：탐토다층라선 CT 대외상성간비파렬적진단개치。방법대140례림상표현위간비손상병수술증실적환자,회고성분석다층라선 CT 검사자료병여림상대비분석。결과간비손상다층라선 CT 표현위간비시렬상、간비내혈종급간비포막하혈종。140례간비손상중,남성다우녀성,고발령10~30세,치상원인이차화상급고처추락상최다,140례간비손상병례중,비장손상69례,점49%,간장손상51례,점36%,간비동시손상20례,점14%。결론다층라선 CT 외상성간비파렬진단개치고,유조우제정림상치료방안。
Objective To evaluate the diagnostic value of multi-slice spiral CT (MSCT)for traumatic spleen and liver rupture.Methods We made a retrospective analysis of 140 cases of liver and spleen injury with clinical manifestations confirmed by operation.MSCT examination results and clinical data were compared.Results Of the 140 cases,male patients outnumbered female ones,and the peak age was 10 - 30 years old.The injuries were most commonly attributed to traffic accident and falling.There were 69 (49%)cases of spleen injury,5 1 (36%) cases of liver injury,and 20 (14%)cases of both.Liver and spleen injuries showed on MSCT examination were liver and spleen laceration, hematoma within the liver and spleen as well as hematoma beneath the envelop. Conclusion MSCT has an important diagnostic value for traumatic liver and spleen rupture and thus can guide clinical treatment choice.