多层螺旋CT诊断急性胸腹部创伤的临床应用及准确性研究

Clinical application and accuracy of multi-slice spiral CT in the diagnosis of acute thoracicand abdominal trauma

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DOI 10.12208/j.ijcr.20240186
刊名
International Journal of Clinical Research
年,卷(期) 2024, 8(5)
作者
作者单位

怀来县医院 河北张家口 ;

摘要
分析对急性胸腹部创伤患者应用多层螺旋CT诊断的价值。方法 抽选2021年8月-2023年8月于我院就诊的急性胸腹部创伤患者82例,以分层随机分41例实施B超诊断,另外41例为观察组实施多层螺旋 CT诊断,对比两组诊断效果;结果 多层螺旋CT诊断率85.3%,明显高于B超诊断准确率82.9%,而在不同疾病脏器损伤上,同样是多层螺旋CT分级诊断灵敏度更高,差异显著,P﹤0.05。结论 急性胸腹部创伤的诊断主要以B超和多层螺旋CT为主,在胰腺、肠系膜以及腹膜后血肿上CT优于B超,当出现实质脏器损伤时,需行增强扫描进行辅助诊断。
Abstract
Objective To analyze the diagnostic value of multi-slice spiral CT in patients with acute thoracic and abdominal trauma. Methods A total of 82 patients with acute chest and abdominal trauma were selected from our hospital from August 2021 to August 2023. B ultrasound diagnosis was performed in 41 cases randomly divided by stratification, and multi-slice spiral CT diagnosis was performed in the other 41 cases as the observation group. Results The diagnostic rate of multi-slice spiral CT was 85.3%, which was significantly higher than the diagnostic accuracy of B-ultrasound (82.9%). In different diseases and organ injuries, the sensitivity of multi-slice spiral CT was higher, and the difference was significant (P<0.05). Conclusion The diagnosis of acute thoracic and abdominal trauma is mainly based on B-ultrasound and multi-slice spiral CT. CT is superior to B-ultrasound in pancreatic, mesentery and retroperitoneal hematoma. When there is parenchymal organ injury, enhanced scan is needed to assist the diagnosis.
关键词
多层螺旋CT;诊断;急性胸腹部创伤;影像学检查
KeyWord
Multi-slice spiral CT; Diagnosis; Acute chest and abdominal trauma; Imaging examination
基金项目
页码 90-92
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陶增胜*,訾丽芳,李怡璇. 多层螺旋CT诊断急性胸腹部创伤的临床应用及准确性研究 [J]. 国际临床研究杂志. 2024; 8; (5). 90 - 92.

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