Valuea of contrast-enhanced imaging and enhanced CT in diagnosis of traumatic spleen rupture
10.3969/j.issn.1006-5725.2015.12.010
- VernacularTitle:超声造影和增强CT在创伤性脾破裂诊断中的应用价值
- Author:
Yezhao LI
;
Haiqing SU
;
Xia ZHANG
;
Minpei QIN
;
Bingbing LU
;
Yanfei LU
;
Caihong ZHAO
;
Fangyan JIANG
- Publication Type:Journal Article
- Keywords:
Traumatic splenic rupture;
Enhanced CT;
Ultrasonic imaging
- From:
The Journal of Practical Medicine
2015;(12):1932-1935
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of contrast-enhanced ultrasound in the diagnosis and classification of traumatic spleen rupture , as compared with enhanced CT. Methods The manifestations of contrast-enhanced ultrasound on surgically or clinically confirmed spleen rupture in 40 patients were retrospectively analyzed. The performance of contrast-enhanced ultrasound on diagnosis and classification was compared with that of enhanced CT. Results For 40 patients with traumatic spleen rupture , the of accuracy of enhanced CT and contrast-enhanced imaging in the diagnosis of traumatic spleen rupture was 97.5%, with no significant statistical differences (chi-square = 0, P = 1). On contrast-enhanced ultrasound examination, 14 patients were diagnosed as true splenic rupture , 9 as subcapsular spleen rupture , and 16 as central splenicrupture, with a accuracy rate of 92.5% (37/40); and accuracy rate for enhanced CT was 90.0% (36/40), there was no significant statistical difference (chi-square = 1.97, P > 0.05). Conclusions Contrast-enhanced and enhanced CT have good consistency in the diagnosis and classification of traumatic spleen rupture. Contrast-enhanced ultrasound can accurately determine the scope and degree of spleen damage , resulting in more accurate classification; and it has values in the diagnosis of traumatic spleen rupture and choice of therapies.
