急诊螺旋CT对外伤性肠及肠系膜损伤诊断及定位的价值

The value of spiral CT in enteral and mesenteric injury diagnosing and localizing caused by abdominal traumatic emergency

目的通过比较术前螺旋CT诊断与X线、超声诊断,并分析螺旋CT的影像学表现,探讨急诊螺旋CT在外伤性肠及肠系膜损伤诊断及定位的价值。方法回顾性分析经手术证实的65例行急诊平扫的肠或肠系膜损伤的术前CT、X线、B超等影像诊断结果,比较不同影像报告与术后诊断的符合情况,分析外伤性肠及肠系膜损伤的CT诊断的特点。结果对肠及肠系膜损伤的CT诊断准确率高于X线、B超诊断准确率,差异有统计学意义(P=0.012,P<0.001),螺旋CT对外伤性肠及肠系膜损伤有对应的征象,利于做出定位诊断。结论螺旋CT对腹部外伤性肠及肠系膜损伤具有良好的诊断及定位的价值。

Objective To investigate the value of spiral CT in enteral and mesenteric injury diagnosing and localizing caused by abdominal traumatic emergency, by the means of analyzing and comparing the preoperative CT report to X-ray and b- ultrasound reports. Methods 65 cases of confirmed enteral or mesenteric injury were recruited to explore their preoperative CT, X-ray and b-ultrasound features. Statistical analysis was conducted to calculate and compare the rate of sensitivity of 3 differ- ent test in diagnosing enteral and mesenteric injury. Results The accuracy of CT in diagnosing enteral and mesenteric injury were better than X-ray and b-ultrasound, the differences were statistical significance （P =0. 012, P 〈0. 001 ） , and the CT fea- tures can help to localize the injury position. Conclusion Spiral CT scans have value in diagnosing enteral and mesenteric injury.