Perisplenic extravasation of contrast medium on enhanced helical computed tomography: a reliable indicator for early surgical management in blunt splenic injuries.

Yon Cheong Wong, Li Jen Wang, Jen Feng Fang, Chi Jen Chen, Being Chuan Lin, Ray Jade Chen

研究成果: 書貢獻/報告類型章節

7 引文 斯高帕斯(Scopus)

摘要

BACKGROUND: The purpose of this study was to determine the predictive 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 in 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 perisplenic CME underwent spleen-related surgery, whereas 29 (39.2%) patients without 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 predictive criterion than the grading scheme based on the depth of lacerations for early surgical management in blunt splenic injuries.
原文英語
主出版物標題Chang Gung medical journal
頁面381-387
頁數7
25
版本6
出版狀態已發佈 - 六月 2002
對外發佈

ASJC Scopus subject areas

  • 醫藥 (全部)

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