【摘要】 本文应用超声对２１０例脾脏外伤进行诊断研究。并将其声像图特征分为Ⅳ型：Ⅰ：脾包膜下血肿。呈无回声暗区型；Ⅱ：真性脾破裂。呈混合型（强回声与低回声或无回声与强回声等）；Ⅲ：中央型破裂。呈强回声光团或无回声区型；Ⅳ；脾蒂撕裂伤型。脾内回声均匀，脾周呈无回声暗区或血肿回声。其超声诊断符合率为９７．６％。同时，对脾外伤保守治疗以及修补术后的声像图演变过程进行了研究和总结．提出Ｂ超应作为脾脏外伤及随访观察的首选检查手段。更多还原

【Abstract】 This paper reports ultrasonic diagnosis of splenic injuries in 210 cases. Based on the chatacteristics of imaging features,it is divided into 4 types, i. e. type I: subcapsular hematoma (echo free area),type Ⅱ: true splenic rupture(comolex imagine features including high density and anechoic area),type Ⅲ:central splenic rupture(hyperechoic or hypoechoic area)and type Ⅳ:laceration of the splenic pedicle. The detectable rate of ultrasonic diasnosis was 97. 6%.The serial scans of nonoperative management and operative therapy were performed with sonography.It is evident that B-scan sonography should be the first choice to identify and follow-up the cases of splenic injuries.更多还原