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題 名 | Perisplenic Extravasation of Contrast Medium on Enhanced Helical Computed Tomography: A Reliable Indicator for Early Surgical Management in Blunt Splenic Injuries=螺旋式電腦斷層上發現脾臟週圍顯影劑外漏--脾臟鈍傷病人需早期手術的可靠依據 |
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作 者 | 黃耀祥; 王俐人; 方禎鋒; 陳啟仁; 林炳川; 陳瑞杰; | 書刊名 | 長庚醫學 |
卷 期 | 25:6 2002.06[民91.06] |
頁 次 | 頁381-387 |
分類號 | 415.649、415.649 |
關鍵詞 | 脾臟鈍傷; 外漏顯影劑; 螺旋式電腦斷層; 脾臟週圍腹腔; Blunt splenic injuries; Contrast material extravasation; Helical CT; Perisplenic space; |
語 文 | 英文(English) |
中文摘要 | 背景:研究螺旋式電腦斷層攝影中所發現外漏在脾臟週圍的顯影劑,是否為預測脾臟鈍傷病人,需要早期手術治療的可靠依據。 方法:此回溯性研究的對象是80位脾臟鈍傷的住院病人(在12個月期間),這些病人的電腦斷層影像皆經覆閱,並記錄是否有外漏在脾臟週圍的顯影劑與脾臟鈍傷的分級,所有病歷皆獨立回顧病人最後的治療方式,以及從電腦斷層檢查至因脾臟受傷而手術治療的時間間隔。 結果:80位病人當中,6位有外漏顯影劑而74位則無此發現。有40位病人是輕度脾臟鈍傷,40位為重度鈍傷。所有6位有外漏顯影劑的病人,皆需要手術治療。而74位無外漏顯影劑之病人,僅29位需要手術治療,此一結果有統計學上的顯著差異(p=0.005)。從電腦斷層至手術的時間間隔,在有外漏顯影劑的病人為1.6±1.0小時,而無外漏顯影劑的病人為7.6±12.9小時,此一結果亦有統計學上的顯著差異(p=0.028)。而比較輕度及重度脾臟鈍傷的病人,其接受手術治療的百分比及從電腦斷層至手術的時間間隔,則無顯著差異。 結果:螺旋式電腦斷層攝影發現有外漏在脾臟週圍的顯影劑,比基於裂傷深度所作出之鈍傷的分級,更能預測脾臟鈍傷病人需要早期手術治療。 |
英文摘要 | Backgorund: The purpose of this study was to determine the predicative value of perisplenic contrast material extravasation (CME) on contrast-enhanced helical computed tomography (CT) for early surgical management in blunt splenic injuries. Methods: During a 12-month period, 80 patients who underwent computed tomography (CT) examinations and were discharged with the diagnosis of blunt splenic injury were included on this retrospective study. All CT scans were reviewed for perisplenic CME and the grades of splenic injuries. Their medical charts were independently reviewed for the choice of treatment and the time interval between CT and spleen-related laparotomy. Results: Of the 80 CT scans, six (7.5%) were positive and 74 ()92.5%) were negative for perisplenic CME. Forty scans were of low-grade injuries, 40 were of high-grade injuries. All six (100%) patients with perislplienc CME required surgery (p=0.005). the time interval between CT and laparotomy was 1.6±1.0 hours for patients with CME, and 7.6±12.9 hours for patients without CME (p=0.028). Similar comparisons of the laparotomy frequency and time intervals between CT and laparotomy in the low-grade and high-grade injury groups did not show any significant differences. Conclusion: Perisplenic CME detected on contrast-enhanced helical CT was a more reliable predicative criterion than the grading scheme based on the depth of lacerations for early surgical management in blunt splenic injuries. |
本系統中英文摘要資訊取自各篇刊載內容。