摘要
目的分析多层螺旋CT诊断急性胸腹部创伤的临床诊断价值。方法选取2017年4月至2019年4月收治的急性胸腹部创伤患者90例为研究对象,分别进行X射线诊断以及多层螺旋CT诊断,以手术诊断结果作为金标准,对比X射线诊断以及多层螺旋CT诊断符合率。结果90例患者均经手术诊断确诊,确诊率为100.00%。其中6例皮下气肿、4例肋骨骨折、8例肩胛骨骨折、3例锁骨骨折、5例肺挫伤、5例胸腔积液、6例气胸、8例肺不张、4例纵膈气肿、8例纵膈血肿、5例肝脏损伤、4例脾脏损伤、3例肾脏损伤、5例胰腺损伤、6例腹腔积血、5例肠系膜撕裂伤、5例膈肌损伤。X射线诊断皮下气肿、肋骨骨折、肩胛骨骨折、锁骨骨折、肺挫伤、胸腔积液、气胸、肺不张、纵膈气肿、纵膈血肿、肝脏损伤、脾脏损伤、肾脏损伤、胰腺损伤、腹腔积血、肠系膜撕裂伤、膈肌损伤符合率分别为83.33%、75.00%、87.50%、66.67%、80.00%、80.00%、50.00%、100.00%、100.00%、100.00%、60.00%、100.00%、100.00%、100.00%、83.33%、80.00%、80.00%;多层螺旋CT诊断纵膈气肿符合率为75.00%、肾脏损伤符合率为66.67%,其余均为100.00%。多层螺旋CT诊断符合率(97.78%)均明显高于X射线诊断(84.44%)(P<0.05)。结论多层螺旋CT可显著提高急性胸腹部创伤诊断准确性,且操作方便,临床价值较高,值得借鉴。
Objective To analyze the clinical diagnostic value of multi-slice spiral CT in the diagnosis of acute thoracoabdominal trauma.Methods 90 patients with acute thoracoabdominal trauma who were admitted from April 2017 to April 2019 were selected as the study subjects.X-ray diagnosis and multi-slice spiral CT diagnosis were carried out respectively.The results of surgical diagnosis were considered as the gold standard,and the coincidence rate of X-ray diagnosis and multi-slice spiral CT diagnosis was compared.Results A total of 90 patients were confirmed by surgical diagnosis,and the diagnosis rate was 100.00%.Among them,there were 6 cases of subcutaneous emphysema,4 cases of rib fracture,8 cases of scapula fracture,3 cases of clavicle fracture,5 cases of lung contusion,5 cases of pleural effusion,6 cases of pneumothorax,8 cases of atelectasis,4 cases of mediastinal emphysema,8 cases of mediastinal hematoma,5 cases of liver injury,4 cases of spleen injury,3 cases of kidney injury,5 cases of pancreas injury,6 cases of abdominal hematoma,5 cases of mesenteric laceration and 5 cases of diaphragm injury.The coincidence rates of X-ray diagnosis of subcutaneous emphysema,rib fracture,scapular fracture,clavicle fracture,lung contusion,pleural effusion,pneumothorax,atelectasis,mediastinal emphysema,mediastinal hematoma,liver injury,spleen injury,kidney injury,pancreas injury,abdominal hemorrhage,mesenteric laceration,and diaphragm injury were 83.33%,75.00%,87.50%,66.67%,80.00%,80.00%,50.00%,100.00%,100.00%,100.00%,60.00%,100.00%,100.00%,100.00%,83.33%,80.00%,and 80.00%respectively;the coincidence rate of multi-slice spiral CT for the diagnosis of mediastinal emphysema was 75.00%,the coincidence rate of kidney injury was 66.67%,and the rest were all 100.00%.The coincidence rate of multi-slice spiral CT diagnosis(97.78%)was significantly higher than that of X-ray diagnosis(84.44%)(P<0.05).Conclusion Multi-slice spiral CT can significantly improve the diagnostic accuracy of acute thoracoabdominal trauma,and it is easy to operat
作者
朱斌
陈德源
陈勇军
ZHU Bin;CHEN Deyuan;CHEN Yongjun(Centre for Emergency and Severe Diseases,Lishui People's Hospital in Zhejiang Province,Lishui 323000,China;Department of Radiology,Lishui People's Hospital in Zhejiang Province,Lishui 323000,China)
出处
《中国现代医生》
2021年第1期81-84,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2019ZH065)。
关键词
X射线
多层螺旋CT
急性胸腹部创伤
临床诊断
X-ray
Multi-slice spiral CT
Acute thoracoabdominal trauma
Clinical diagnosis
