The Diagnostic Value of Contrast-enhanced CT Scans for Traumatic Splenic Rupture
- VernacularTitle:CT增强扫描对外伤性脾破裂的诊断价值
- Author:
Yuewu ZHANG
;
Xisong ZHU
;
Weixian WU
;
Lugang ZHANG
- Publication Type:Journal Article
- Keywords:
spleen, rupture;
tomography, X-ray computed;
diagnosis
- From:
Journal of Practical Radiology
1991;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic value of contrast-enhanced CT scans in diagnosis of traumatic splenic rupture. Methods The findings of unenhanced and contrast-enhanced CT scans of 34 cases with traumatic splenic rupture confirmed by operation were retrospectively reviewed. Results Of the 34 patients, the diagnoses of splenic rupture on unenhanced CT scans were certain in 23 patients and uncertain in 6 patients. No abnormalities were found in 5 patients(sensitivity 85.3%, specificity 67.6%). After intravenous administration of contrast material, all of the patients were diagnosed as splenic rupture(sensitivity 100%,specificity 100%).Conclusion Contrast-enhanced CT is important in diagnosis of traumatic splenic rupture and can obviously improve the diagnostic accuracy. It provides reliable information for clinical treatment.