摘要
目的分析急性胸腹部创伤患者应用多层螺旋CT诊断的有效性。方法从本院疑似急性胸腹部创伤患者当中抽取100例,为患者采取多层螺旋CT检查及X线诊断,将手术病理结果作为金标准,分析两种检查的临床效果,对比检查结果,分析急性胸腹部创伤(纵隔气肿、气胸、肺挫伤、肋骨骨折、腹腔积血)符合率。结果在100例患者中,病理确诊急性胸腹部创伤阳性85例,占比85.00%,多层螺旋CT灵敏度、准确率、特异性对比X线诊断更高,差异有统计学意义(P<0.05);多层螺旋CT阳性预测值、阴性预测值均高于X线诊断,差异有统计学意义(P<0.05);多层螺旋CT纵隔气肿符合率对比X线诊断较高,差异有统计学意义(P<0.05);气胸、肺挫伤、肋骨骨折、腹腔积血符合率对比,差异无统计学意义(P>0.05);多层螺旋CT的误诊率、漏诊率均低于X线诊断,组间差异有统计学意义(P<0.05)。结论在急性胸腹部创伤的诊疗过程中,应用多层螺旋CT诊断技术,能够有效提升诊断的精准度,进而显著降低患者疾病诊断中的漏诊现象。
Objective To analyze effect of multi-slice spiral CT diagnosis for patients with acute thoracoabdominal trauma.Methods The paper chose 100 suspected patients with acute chest and abdominal trauma in our hospital for multi-slice spiral CT examination and X-ray diagnosis.Clinical effect was analyzed between two examinations,examination results were compared,and compliance rate of acute chest and abdominal trauma(mediastinal emphysema,pneumothorax,diaphragmatic injury,rib fracture,abdominal hemorrhage)was analyzed with gold standard of surgical pathological results.Results Among 100 examined patients,85 cases were pathologically diagnosed with acute chest and abdominal trauma,accounting for 85.00%.Multi slice spiral CT had higher sensitivity,accuracy,and specificity than X-ray diagnosis,with statistical significance(P<0.05).Positive and negative predictive values of multi slice spiral CT were higher than X-ray diagnosis,with statistical significance(P<0.05).Conformity rate of mediastinal emphysema with multi slice spiral CT was higher than X-ray diagnosis(P<0.05),while conformity rate of pneumothorax,diaphragmatic injury,rib fracture,and abdominal hemorrhage was relatively lower,(P>0.05).Misdiagnosis rate and missed diagnosis rate of multi slice spiral CT was lower than X-ray diagnosis,with significant difference between two groups(P<0.05).Conclusion MSCT can achieve high diagnostic value for acute thoracoabdominal injury,reducing misdiagnosis of patients.
作者
黄礼娟
雷永松
罗开志
邓均文
HUANG Lijuan;LEI Yongsong;LUO Kaizhi;DENG Junwen(Dongguan City Dalang Hospital,Dongguan,Guangdong 523000)
出处
《智慧健康》
2024年第19期4-6,共3页
Smart Healthcare
关键词
诊断
急性胸腹部创伤
多层螺旋CT
灵敏度
Diagnosis
Acute chest and abdominal trauma
Multi slice spiral CT
Sensitivity
