Horstman W G, McClennan B L, Heiken J P
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.
Urol Radiol. 1991;12(4):188-93. doi: 10.1007/BF02924005.
Computed tomography (CT) is the method of choice for evaluating patients with blunt abdominal and/or pelvic trauma. However, the sensitivity of CT for detecting bladder ruptures has been questioned. We reviewed both the conventional cystograms and the CT examinations of 25 patients who had both studies as the initial evaluation of blunt abdominal and pelvic trauma in the last 5 years. Five of these 25 patients had bladder ruptures, three extraperitoneal and two intraperitoneal. All five injuries were detected by both CT and conventional cystography. In one patient the conventional cystogram was falsely positive. In this case the correct diagnosis was made by CT, and a repeat cystogram confirmed that no bladder injury was present. Our results indicate that CT, if properly performed, is as sensitive for detection of bladder injuries as conventional cystography.
计算机断层扫描（CT）是评估腹部和/或骨盆钝性创伤患者的首选方法。然而，CT检测膀胱破裂的敏感性受到质疑。我们回顾了过去5年中25例同时接受传统膀胱造影和CT检查作为腹部和骨盆钝性创伤初始评估的患者的资料。这25例患者中有5例发生膀胱破裂，3例为腹膜外破裂，2例为腹膜内破裂。CT和传统膀胱造影均检测出了所有5例损伤。1例患者的传统膀胱造影结果为假阳性。在这种情况下，CT做出了正确诊断，再次膀胱造影证实不存在膀胱损伤。我们的结果表明，如果操作得当，CT检测膀胱损伤的敏感性与传统膀胱造影相同。
