The efficacy of four-slice helical CT in evaluating XXXX : a single institution experience.

@entity1 @entity788 @entity75 @entity4 @entity660 @entity1410 @entity130
STUDY OBJECTIVE: To assess the efficacy of computed tomography (CT) in evaluating @entity1 with @entity788 . METHODS: We undertook a retrospective review of all blunt @entity130 @entity1 admitted to the Chi-Mei Medical Center from January 2004 to June 2006. Every @entity1 underwent abdominal CT scan in emergency department and the CT scans were obtained with a four-slice helical CT. Diagnosis of a @entity660 in these @entity1 was by surgical observation or by CT findings. Radiographic @entity660 were classified as deep or superficial lesions. @entity75 were defined as the @entity1410 or lacerations >50% thickness of the pancreas. Superficial lesions were described as the @entity1410 or lacerations <50% thickness of the pancreas; pancreatic @entity4 ; and focal fluid accumulation around the pancreas RESULTS: Nineteen @entity1 with @entity788 , fourteen males and five females, average age 40.6    21.4 years, were included. Most @entity1 (73.7%) with @entity788 had associated organ injuries. CT was performed in all @entity1 and laparotomy in 14 @entity1 . CT was 78.9% sensitive in detecting @entity788 . All deep pancreatic lesions revealed on CT required surgical treatment, and complication was discovered in two @entity1 undergoing delayed surgery. Superficial lesions were managed conservatively. CONCLUSION: Four-slice helical CT can detect most @entity788 and provide practical therapeutic guidance. Delayed operation might result in complications and is associated with prolonged hospital stays.
