彩色多普勒超声诊断脾破裂的征象及价值
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摘要
目的探讨彩色多普勒超声诊断脾破裂的征象和价值。方法回顾性分析2014年3月至2018年9月在我院超声检查后,经CT扫查,手术病理证实的90例脾破裂患者的临床资料。将接受超声检查者纳入观察组,CT检查者纳入对照组。分析彩色多普勒超声诊断脾破裂的征象,并比较其与CT检查的诊断符合率。结果 90例患者中,89例患者超声准确诊断脾破裂,超声所见:75例提示腹腔积血;脾实质破裂58例,脾包膜下血肿20例,脾内血肿11例,其中1例因腹腔气体大,疼痛不配合漏诊。超声诊断符合率为98.89%,高于CT诊断的86.67%(P<0.05)。结论彩色多普勒超声能够及时明确地诊断脾破裂,并能发现脾损伤的轻重程度及其周围脏器合并损伤情况,临床应用价值较高。
Objective To investigate the signs and value of color Doppler ultrasound in diagnosis of splenic rupture.Methods The clinical data of 90 cases of splenic rupture undergoing ultrasonic examination, and undergoing CT scan,confirmed by operative pathology from March 2014 to September 2018 in our hospital were retrospectively analyzed. The patients who received ultrasound examination were included in observation group and patients who received the CT examination were included in control group. The signs of splenic rupture diagnosed by color Doppler ultrasonography were analyzed, and the diagnostic coincidence rates between color Doppler ultrasonography and CT were compared. Results Among 90 cases, 89 cases were diagnosed splenic rupture accurately by ultrasonography, the ultrasonographic findings were as follows: 75 cases indicated bematoperitoneum; 58 cases of splenic parenchymal rupture, 20 cases of subcapsular hematoma of spleen, 11 cases of intrasplenic hematoma, and 1 case was missed because of abdominal gas and pain. The coincidence rate of ultrasound diagnosis was 98.89%, which was higher than 86.67% in CT diagnosis(P<0.05). Conclusion Color Doppler ultrasonography can diagnose splenic rupture in time and clearly, and can find the degree of splenic injury and its surrounding organs combined with injury. It has high clinical value.
Objective To investigate the signs and value of color Doppler ultrasound in diagnosis of splenic rupture.Methods The clinical data of 90 cases of splenic rupture undergoing ultrasonic examination, and undergoing CT scan,confirmed by operative pathology from March 2014 to September 2018 in our hospital were retrospectively analyzed. The patients who received ultrasound examination were included in observation group and patients who received the CT examination were included in control group. The signs of splenic rupture diagnosed by color Doppler ultrasonography were analyzed, and the diagnostic coincidence rates between color Doppler ultrasonography and CT were compared. Results Among 90 cases, 89 cases were diagnosed splenic rupture accurately by ultrasonography, the ultrasonographic findings were as follows: 75 cases indicated bematoperitoneum; 58 cases of splenic parenchymal rupture, 20 cases of subcapsular hematoma of spleen, 11 cases of intrasplenic hematoma, and 1 case was missed because of abdominal gas and pain. The coincidence rate of ultrasound diagnosis was 98.89%, which was higher than 86.67% in CT diagnosis(P<0.05). Conclusion Color Doppler ultrasonography can diagnose splenic rupture in time and clearly, and can find the degree of splenic injury and its surrounding organs combined with injury. It has high clinical value.
引文
[1]邓雪艳,李明娟,吕茂霞,等.超声检测移居高原男性脾脏体积及血流量变化的对比研究[J].局解手术学杂志,2015,24(5):525-527.
[2]外力·库尔班.保留性脾手术治疗脾损伤的疗效观察[J].临床医药文献电子杂志,2015,2(27):5648-5648.
[3]吴永亮,杨明威.创伤性脾破裂脾切除与保脾治疗42例疗效对比[J].基层医学论坛,2015,17(16):2175-2176.
[4]田雷蓉,刘新国,龙辉.彩色多普勒超声技术对肝脾破裂的鉴别诊断价值[J].基层医学论坛,2016,20(1):81-82.
[5]姚显明,何茂春,李玲.脾脏破裂的超声诊断及部分漏误诊病例原因分析[J].川北医学院学报,2014,29(3):298-300.
[6]杨洪艳,罗静.彩色多普勒超声诊断脾破裂38例分析[J].东方食疗与保健,2016,14(9):264.
[7]李姝楠.B超检查早期脾破裂的价值研究[J].中外医疗,2015,34(30):174-175.
[8]赵宝居.彩色多普勒超声检查在脾破裂诊断中的应用价值[J].当代医药论丛,2017,15(23):27-29.
[9]何金梅,杨晓龙,杨静.超声诊断急诊腹部闭合性损伤内脏破裂出血临床应用[J].医学理论与实践,2016,29(2):241-242.
[10]段琨,巩守平.骨折合并闭合性腹部损伤延迟性脾破裂临床诊断和治疗[J].中国临床研究,2018,31(5):70-74.
[2]外力·库尔班.保留性脾手术治疗脾损伤的疗效观察[J].临床医药文献电子杂志,2015,2(27):5648-5648.
[3]吴永亮,杨明威.创伤性脾破裂脾切除与保脾治疗42例疗效对比[J].基层医学论坛,2015,17(16):2175-2176.
[4]田雷蓉,刘新国,龙辉.彩色多普勒超声技术对肝脾破裂的鉴别诊断价值[J].基层医学论坛,2016,20(1):81-82.
[5]姚显明,何茂春,李玲.脾脏破裂的超声诊断及部分漏误诊病例原因分析[J].川北医学院学报,2014,29(3):298-300.
[6]杨洪艳,罗静.彩色多普勒超声诊断脾破裂38例分析[J].东方食疗与保健,2016,14(9):264.
[7]李姝楠.B超检查早期脾破裂的价值研究[J].中外医疗,2015,34(30):174-175.
[8]赵宝居.彩色多普勒超声检查在脾破裂诊断中的应用价值[J].当代医药论丛,2017,15(23):27-29.
[9]何金梅,杨晓龙,杨静.超声诊断急诊腹部闭合性损伤内脏破裂出血临床应用[J].医学理论与实践,2016,29(2):241-242.
[10]段琨,巩守平.骨折合并闭合性腹部损伤延迟性脾破裂临床诊断和治疗[J].中国临床研究,2018,31(5):70-74.