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目的 :研究增强扫描在诊断脾外伤中的重要作用。材料与方法 :收集 30例脾外伤病例 ,其中 14例仅做了平扫 ,16例做了平扫加增强扫描 ,所有影像及病历资料进行了分析 ,总结 ,并做了统计学处理。结果 :增强扫描较单纯平扫诊断正确率有明显提高 ,同时可显示清楚少量腹水及平扫见不到的脾实质内的损伤病灶 ,在增强图像上脾脏早期损伤病灶可表现为条状或点状不强化的低密度灶。增强扫描并有助于发现其它相邻脏器的损伤。结论 :增强扫描对于脾外伤的早期正确诊断是非常重要的 ,平扫未见异常不能除外有脾挫伤存在 ;另外 ,增强扫描有助于发现其它脏器的复合伤 ,因而对于怀疑有内脏损伤病例 ,不失时机地选择增强扫描是非常必要的
Objective: To study the important role of enhanced scan in the diagnosis of splenic trauma. Materials and Methods: Thirty cases of splenic trauma were collected, including 14 cases of plain scans only, 16 cases of plain scans and enhanced scans. All the images and medical records were analyzed and summarized, and the data were analyzed statistically. Results: Compared with simple plain scan, the accuracy of enhanced scan was significantly improved. At the same time, a small amount of ascites and clear lesion within the spleen parenchyma could not be seen. In the enhanced image, the lesion in the early stage of spleen showed a strip or spot The shape is not enhanced low-density stove. Enhance scanning and help detect damage to other adjacent organs. Conclusions: Enhanced scan is very important for early diagnosis of splenic trauma. There is no exception of splenic contusion in the absence of abnormal scan. In addition, enhanced scan can help to find out the complex injuries of other organs. Therefore, for patients suspected of visceral injury It is very necessary to choose enhanced scanning without any loss of time