Peng Naixiong, Wang Xisheng, Zhang Zejian, Fu Shui, Fan Jiqing, Zhang Yuanyuan
Department of Urology, Shenzhen Longhua New District Central hospital, Shenzhen, Guangdong, China.
Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
J Xray Sci Technol. 2016 Oct 6;24(5):649-655. doi: 10.3233/XST-160585.
Computed tomography (CT) is most commonly used as a noninvasive approach in diagnosis of internal organ injures. Use of multi-slice spiral CT becomes more popular in diagnosis of trauma because of its ability to generate 3D volumetric information. This study evaluated the diagnostic value of multi-slice spiral computed tomography (MSCT) with enhanced scanning in renal trauma. In total, 126 patients with kidney injury underwent MSCT scanning from a single hospital in the southern of China between January 2012 and February 2016. According to kidney injury grading standards of American Association for the Surgery of Trauma (AAST), 30 were diagnosed and classified in level I, 26 in level II, 42 in level III, 17 in level IV, 11 in level V. The outcomes of MSCT enhanced scanning achieve a 100% diagnostic accuracy rate, which was confirmed by surgical findings. We concluded that the enhanced MSCT scan permits reliable detection of renal trauma and the associated organ or tissue injuries, providing important clinical value for the diagnosis and classification of renal trauma or internal organ injures.
计算机断层扫描（CT）是诊断内部器官损伤时最常用的无创方法。多层螺旋CT因其能够生成三维容积信息，在创伤诊断中应用越来越广泛。本研究评估了多层螺旋计算机断层扫描（MSCT）增强扫描在肾外伤中的诊断价值。2012年1月至2016年2月期间，中国南方一家医院的126例肾损伤患者接受了MSCT扫描。根据美国创伤外科协会（AAST）的肾损伤分级标准，I级诊断并分类30例，II级26例，III级42例，IV级17例，V级11例。MSCT增强扫描结果诊断准确率达100%，手术结果证实了这一点。我们得出结论，MSCT增强扫描能够可靠地检测肾外伤及相关器官或组织损伤，为肾外伤或内部器官损伤的诊断和分类提供重要的临床价值。
