DR与螺旋CT在急诊胸腹部创伤中的临床诊断结果比较

Comparison of clinical diagnosis between DR and spiral CT in emergency treatment of thoracoabdominal trauma

目的比较DR与螺旋CT在急诊胸腹部创伤中的临床诊断价值。方法选取2015年10月~2017年11月我院收治的120例急诊胸腹部创伤患者的临床资料进行分析,患者均给予DR检查与螺旋CT检查,分析两种诊断方法病变部位的成像质量情况,并比较两种诊断方法的诊断符合率。结果 CT诊断成像质量显著高于DR诊断(P<0.05)。CT在肋骨骨折、膈肌损伤、肝脏损伤、肾脏损伤、脾脏损伤、胰脏损伤、肺挫伤、肺不张、气胸、血肿、气肿等方面的诊断符合率高达100.00%,显著高于DR诊断符合率(84.17%),差异有统计学意义(P<0.05)。结论相较于DR,CT在急诊胸腹部创伤中的诊断价值更高,且可对创伤部位进行精确定位以及评估,具有较高的推广价值。

Objective To compare the clinical value of DR and spiral CT in emergency treatment of thoracoabdominal trauma.Methods 120 emergency patients with thoracoabdominal trauma admitted from October 2015 to November 2017 in our hospital were selected.All patients were given DR and spiral CT examination.The imaging quality of the two diagnostic methods was analyzed,and the diagnostic coincidence rates of the two diagnostic methods were compared.Resuits The quality of CT imaging was significantly higher than that of DR （P〈0.05）. The coincidence rate of CT in diagnosis of rib fracture,diaphragmatic injury,kidney injury,spleen injury,pancreatic injury,pulmonary contusion,atelectasis, pneumothorax,hematoma and emphysema was as high as 100.00%,significantly higher than that of DR diagnosis of 84.17%,the difference was statistically significant （P〈0.05）.Conclusion Compared with DR,the diagnostic value of CT in emergency treatment of chest and abdomen trauma is higher, and it can be used to accurately locate and evaluate the trauma site,which is of great promotion value.