CT与B超在上腹部创伤检查中的价值比较

Comparison of value of CT and B-ultrasound in detection of upper abdominal trauma

目的 探讨CT与B超在上腹部创伤检查中的临床价值. 方法 回顾性分析本院2011年3月～2013年3月收治的35例上腹部创伤患者的临床资料,所有患者均采用CT、B超检查,比较两种检查方法与术后诊断的符合率.结果 B超对脾脏损伤诊断的符合率高于CT,而CT对肾脏、肠系膜损伤及胃穿孔诊断的符合率高于B超（P＜0.05）;两种检查方法对肝脏和胰腺损伤诊断的符合率比较,差异无统计学意义（P＞0.05）.结论 B超、CT检查对于上腹部闭合性损伤有较高的诊断价值,CT对腹部空腔脏器和肠系膜损伤的诊断优于B超.

Objective To investigate the clinical value of CT and B-ultrasound in detection of upper abdominal trauma. Methods The clinical data of 35 patients with upper abdominal trauma were retrospectively analyzed from March 2011 to March 2013 in our hospital,All patients were detected by CT and B-ultrasound examination. The coincidence rate of diagnosis made by the two examinations and postoperative diagnosis were compared. Results For spleen injury,the diagnosis coincidence rate of B-ultrasound is higher than that of CT, but the diagnosis coincidence rate of CT is higher than that of B-ultrasound in diagnosing kidneys,mesenteric injury and gastric perforation （P〈0.05）;for diagnosis of liver and pancreas damage,there was no statistical difference in the diagnosis coincidence rate of the two examinations （P〉 0.05）. Conclusion For closed upper abdominal injury, B-ultrasound and CT examination has higher diagnostic value, CT is superior to B-ultrasound in diagnosing abdominal cavity viscera and mesenteric injury.