Froelich J W, Simeone J F, McKusick K A, Winzelberg G G, Strauss H W
Radiology. 1982 Nov;145(2):457-61. doi: 10.1148/radiology.145.2.7134453.
In a prospective blind study of liver/spleen trauma, 32 consecutive patients were evaluated by radionuclide imaging (99mTc-sulfur colloid) and gray-scale ultrasound. Six patients (19%) had inadequate sonograms due to injuries and pain. Thirteen (41%) were normal, 13 (41%) were abnormal with one technique or the other, and there was a discrepancy in 2 (6%). Of the 13 abnormal patients, 1 had a lacerated spleen, 2 had angiographic confirmation of a subcapsular hematoma, and 10 showed resolution on follow-up. Two patients with left-sided trauma had abnormal radionuclide scans of the liver; sonograms were initially normal in one of them, but subsequent imaging confirmed the abnormality. The authors feel that imaging with 99mTc-sulfur colloid should be the primary screening examination for liver/spleen trauma.
在一项关于肝/脾创伤的前瞻性盲法研究中，对32例连续患者进行了放射性核素成像（99mTc-硫胶体）和灰阶超声检查。6例患者（19%）因损伤和疼痛而超声检查结果不充分。13例（41%）结果正常，13例（41%）在一种或另一种检查技术下结果异常，2例（6%）存在差异。在13例异常患者中，1例脾脏撕裂，2例经血管造影证实有包膜下血肿，10例在随访中显示病情缓解。2例左侧创伤患者肝脏放射性核素扫描异常；其中1例患者超声检查最初正常，但后续成像证实了异常情况。作者认为，99mTc-硫胶体成像应作为肝/脾创伤的主要筛查检查。
