Abstract:Objective To investigate the application of plain CT scan and enhanced CT scan in splenic
embolization surgeries and postoperative splenic CT imaging features in different periods. Methods
Altogether 52 cases of splenic embolization treated in the hospital from January 2012 to January 2015
were involved as the objects of research and underwent epigastric plain CT scanning and enhanced CT reexaminations
at postoperative 1 week, 1 month, 3 months and 6 months. And according to the CT images at
postoperative 1 week, the area of splenic embolization and non-embolization were measured so as to calculate
the proportion of splenic embolism in each patient; then, based on the different embolism proportions, all the
patients were divided into Group Ⅰ (Embolization Percentage ≤50%) and Group Ⅱ (Embolization Percentage
> 50%). The analysis of the changes in CT images of splenic embolization tissue at each observation point
was made. Results According to the CT examinations at postoperative 1 month, partial repair was revealed
in 27 cases among Group Ⅰ patients versus 5 cases in Group Ⅱ, with statistically significant difference (P <
0.05); 0 patient in Group Ⅰ was found with infarctions with liquefaction in contrast with 6 patients in Group
Ⅱ, with statistically significant difference (P < 0.05). CT examinations at postoperative 3 month revealed
17 cases of partial repair and 15 cases of full repair in Group Ⅰ versus 8 cases of partial repair without
statistically significant difference (P > 0.05), 4 cases of full repair with statistically significant difference (P
< 0.05), in Group Ⅱ as well as 0 case of infarctions with liquefaction in Group Ⅰ in contrast with 11 patients
in Group Ⅱ, with statistically significant difference (P < 0.05). As for the results of CT examinations at
postoperative 6 months, all the patients in Group I were fully repaired compared with 12 cases in Group Ⅱ,
with statistically significant difference (P < 0.05). Conclusion The patients’ spleen would go through a series
of pathophysiological changes postoperatively. CT scanning and enhanced CT examinations could provide
high-resolution and clear images during various periods. And the CT examination also proved its advantages
of minimal invasion and short duration of surgery and great effectiveness in the splenic embolization surgeries.
邢卫红. CT平扫及增强检查对于脾栓塞手术效果的评价[J]. 中国医疗设备, 2016, 31(10): 55-57.
XING Wei-hong. Application of Plain CT Scan and Enhanced CT Scan in Evaluation of
the Effects of Splenic Embolization Surgeries. China Medical Devices, 2016, 31(10): 55-57.