定点超声结合MSCT扫描在急诊腹部闭合性创伤诊断中的应用

Application of Focused Assessment Sonography Trauma Combined with MSCT Scan in the Diagnosis of Blunt Abdominal Trauma in Emergency Department

目的探讨定点超声(FAST)结合多层螺旋计算机断层扫描(MSCT)扫描在急诊腹部闭合性创伤诊断中的应用价值。方法采用随机数表法选取2017年1月-2018年6间急诊收治的28例腹部闭合性创伤患者作为研究对象,所有患者均经FAST和MSCT检查。记录不同检查所需时间,以手术结果为金标准,比较不同检查方法诊断患者脏器损伤符合率、不同检查方法诊断患者创伤效能。结果①FAST检查时间短于MSCT(P<0.05);②FAST、MSCT及联合检查诊断脾损伤、肝损伤、肾脏损伤、空腔脏器损伤、腹膜血肿、胰腺损伤符合率对比,差异均无统计学意义(P>0.05);③FAST、MSCT及联合检查诊断患者创伤正确率、漏诊率、误诊率对比,差异均无统计学意义(P>0.05)。结论 FAST联合MSCT诊断急诊腹部闭合性创伤效能良好,但较单独诊断无显著优势。

Objective To explore the application value of focused assessment sonograph trauma(FAST)combined with multi-slice spiral computed tomography(MSCT)scan in the diagnosis of blunt abdominal trauma in emergency department.Methods A total of 28 patients with blunt abdominal trauma who admitted to the emergency department from January 2017 to June 2018 were selected for the study according to the random number table method.All patients were examined by FAST and MSCT.The time required for different examination methods was recorded,and the surgical results were used as the gold standard to compare the coincidence rate of organ injury and efficacy of trauma by different examination methods.Results The examination time of FAST was shorter than that of MSCT(P<0.05).There were no statistically significant differences in the coincidence rates of spleen injury,liver injury,kidney injury,hollow organ injury,peritoneal hematoma and pancreatic injury diagnosed by FAST,MSCT and combined examination(P>0.05).There were no statistically significant differences in the correct rate,missed diagnostic rate and misdiagnostic rate of trauma diagnosed by FAST,MSCT and combined examination(P>0.05).Conclusion FAST combined with MSCT has good efficacy in the diagnosis of blunt abdominal trauma in emergency department,but it has no significant advantage compared with single diagnosis.