Marmery Helen, Shanmuganathan K
Department of Diagnostic Radiology, Royal London Hospital, London, UK.
Semin Ultrasound CT MR. 2006 Oct;27(5):404-19. doi: 10.1053/j.sult.2006.06.007.
The spleen is the intra-abdominal organ most often injured as a result of blunt trauma. Multidetector-row computed tomography (MDCT) plays an important role in the detection and characterization of splenic injury. It has been shown to be highly accurate and can detect splenic vascular lesions, the presence of which has been shown to be a predictor of failure of nonoperative management. The increased use of angiography and splenic artery embolization in the management of such injuries has led to improved success rates with nonoperative management. This article reviews the various appearances of the injured spleen and discusses the use of MDCT in the initial evaluation of injury. The indications for angiography and embolization are reviewed, with examples of appearances of the postembolization spleen.
脾脏是腹部脏器中最常因钝性创伤而受损的器官。多排螺旋计算机断层扫描（MDCT）在脾脏损伤的检测和特征描述中发挥着重要作用。它已被证明具有高度准确性，能够检测脾脏血管病变，而脾脏血管病变的存在已被证明是非手术治疗失败的一个预测指标。在这类损伤的治疗中，血管造影和脾动脉栓塞术的使用增加，使得非手术治疗的成功率得到提高。本文回顾了受损脾脏的各种表现，并讨论了MDCT在损伤初始评估中的应用。还回顾了血管造影和栓塞术的适应证，并列举了栓塞术后脾脏的表现实例。
