摘要
目的探讨诊断治疗闭合性腹部创伤肠道损伤的方法与效果。方法选取2019年3月至2021年2月100例疑似闭合性腹部创伤肠道损伤患者,全部实施超声检查和CT检查,其中超声检查资料设为A组,CT检查资料设为B组。手术结果作为金标准。记录检查结果和治疗结果,比较漏诊误诊情况和诊断效能。结果阳性检出率比较,以手术检出率为81.00%(81/100)为金标准,A组阳性检出率[79.00%(79/100)]低于B组[83.00%(83/100)](χ^(2)=18.113,P=0.022);漏诊率比较,A组[8.64%(7/81)]高于B组[2.47%(2/81)](χ^(2)=18.637,P=0.014);误诊率比较,A组[26.32%(5/19)]高于B组[21.05%(4/19)](χ^(2)=18.326,P=0.016);诊断效能比较,A组灵敏度[91.36%(74/81)]低于B组[97.53%(79/81)](χ^(2)=19.198,P=0.009);A组特异度[73.68%(14/19)]低于B组[78.95%(15/19)](χ^(2)=18.706,P=0.013);A组准确度[88.00%(88/100)]低于B组[94.00%(94/100)](χ^(2)=18.991,P=0.011);本研究81例患者,治疗有效率为100.00%(81/81),患者病死率为0。结论在闭合性腹部创伤诊断中,针对肠道损伤患者实施CT诊断比超声诊断准确度更高,但仍存在误诊漏诊情况,应结合临床症状实施综合诊断,促进精准治疗。实施科学诊断,可促进肠道创伤精准检出和有效治疗。
Objective To explore the method and effect of diagnosis and treatment of intestinal injury in closed abdominal trauma.Methods A total of 100 patients with suspected closed abdominal trauma and intestinal injury from March 2019 to February 2021 were selected.All of them were examined by ultrasound and CT.The ultrasound data were set as group A and CT data were set as group B.The surgical results were used as the gold standard.The examination results and treatment results were recorded,and the missed diagnosis,misdiagnosis and diagnostic power were compared.Results Comparison of the positive detection rate,taking the surgical detection rate of 81.00%(81/100)as the gold standard,the positive detection rate of group A[79.00%(79/100)]is lower than that of group B[83.00%(83/100)](χ^(2)=18.113,P=0.022).The missed diagnosis rate in group a[8.64%(7/81)]was higher than that in group B[2.47%(2/81)](χ^(2)=18.637,P=0.014);The misdiagnosis rate in group a[26.32%(5/19)]was higher than that in group B[21.05%(4/19)](χ^(2)=18.326,P=0.016);The sensitivity of group a[91.36%(74/81)]was lower than that of group B[97.53%(79/81)](χ^(2)=19.198,P=0.009);The specificity of group a[73.68%(14/19)]was lower than that of group B[78.95%(15/19)](χ^(2)=18.706,P=0.013).The accuracy of group a[88.00%(88/100)]was lower than that of group B[94.00%(94/100)](χ^(2)=18.991,P=0.011).The results showed that the effective rate was 100.00%(81/81)and the mortality was 0.Conclusion In the diagnosis of closed abdominal trauma,CT diagnosis for patients with intestinal injury is more accurate than ultrasound diagnosis,but there are still misdiagnosis and missed diagnosis.Comprehensive diagnosis should be implemented in combination with clinical symptoms to promote accurate treatment.Scientific diagnosis can promote accurate detection and effective treatment of intestinal trauma.
作者
江舟
游宠捷
戴文斌
JIANG Zhou;YOU Chongjie;DAI Wenbin(Department of General Surgery,Changle District Hospital,Fuzhou 350200,China)
出处
《中国医药指南》
2021年第32期18-20,共3页
Guide of China Medicine
关键词
腹部创伤
肠道损伤
闭合性创伤诊疗
超声检查
CT检查
诊断效能
Abdominal trauma
Intestinal injury
Diagnosis and treatment of closed trauma
Ultrasonic examination
CT examination
Diagnostic power
