急诊腹部创伤患者B超与CT诊断的临床价值分析

Analysis of the Clinical Value of B-mode Ultrasonography and CT in the Diagnosis of Patients with Emergency Abdominal Trauma

目的探讨分析急诊腹部创伤患者B超与CT诊断的临床价值。方法选取我院2008年1月-2015年8月门诊收治的46例腹部创伤患者,入院后均分别行常规B超和CT手段进行初步诊断,以手术及病理观察结果为诊断金标准,参照对比分析两种影像手段的诊断效果。结果手术病理结果显示腹内脏器损伤患者比重占93.48%;B超、CT腹内脏器损伤正确诊断率分别为脾损伤(86.36%vs95.45%)、肝损伤(90.00%vs80.00%)、肾脏损伤(1 0 0.0 0%v s 8 0.0 0%)、胰腺损伤(60.00%vs80.00%)、小肠和十二指肠损伤(66.67%vs100.00%)、腹膜损伤(60.00%vs80.00%),B超、CT扫描上述脏器损伤诊断准确率相较无明显差异(P>0.05)。结论 B超、CT均是临床诊断腹部创伤患者腹内脏器损伤的有效影像手段,且具有无创简单快捷等优点,可为指导临床治疗方案提供重要的参考依据。

Objective To investigate and analyze the clinical value of B-mode ultrasonography and CT in the diagnosis of patients with emergency abdominal trauma. Methods 46 ptients with abdominal trauma who were treated in the department of emergency trauma surgery of our hospital between January and August 2015 were enrolled in the study. After admission, all patients underwent routine preliminary diagnosis with B-mode ultrasonography and CT. The surgical and pathological results were taken as the golden standard to analyzed the diagnostic effects of the two imaging means. Resultsesults The surgical and pathological results showed that patients with abdominal organ injury accounted for 93.48%. There was no significant difference in accurate rates between B-mode ultrasonography and CT in the diagnosis of splenic injuries（86.36% vs 95.45%）, liver damage（90.00% vs 80.00%）, renal injury（100.00% vs 80.00%）, pancreatic injury（60.00% vs 80.00%）, small intestine and duodenal injury（66.67% vs 100.00%） and peritoneal injury（60.00% vs 80.00%）（P〉0.05）. Conclusion Conclusion B-mode ultrasonography and CT are effective imaging methods for the clinical diagnosis of abdominal organ injury in patients with abdominal trauma. They are non-invasive, simple and effective, which can provide important reference for guiding the clinical treatment.