CT对腹部闭合性损伤定性、定位诊断的应用价值

Application Value of CT in Qualitative Diagnosis and Localization Diagnosis of Closed Abdominal Trauma

目的探究电子计算机断层扫描(CT)对腹部闭合性损伤定性、定位诊断的应用价值。方法回顾性分析我院行手术治疗的98例腹部闭合性损伤患者临床资料,比较CT、超声检查与金标准(手术)定性及定位检出情况差异,评估CT、超声的诊断效能。结果 98例腹部闭合性损伤患者共出现108处实质性脏器损伤,24处为空腔脏器损伤;CT对腹部闭合性损伤的定性诊断准确率明显高于超声(P<0.05),且对腹部实质性脏器及空腔脏器损伤的定位诊断准确率均高于超声(P<0.05)。结论CT在腹部闭合性损伤定性、定位诊断中具有较高的准确率,对临床治疗有指导意义。

Objective To explore the application value of computed tomography(CT)in qualitative diagnosis and localization diagnosis of closed abdominal trauma.Methods The clinical data of 98 patients with closed abdominal trauma who underwent surgical treatment in our hospital were analyzed retrospectively.The differences of qualitative and localization detection conditions between CT,ultrasound and gold standard(surgery)were analyzed and compared,and the diagnostic value of the two methods was assessed.Results There were 108 parenchyma organ injuries and 24 hollow organ injuries among 98 cases of patients with closed abdominal trauma.The accuracy of qualitative diagnosis of closed abdominal trauma by CT was significantly higher than that by ultrasound(P<0.05),and the accuracies of localization diagnosis of abdominal parenchyma organ injuries and hollow organ injuries were higher than those by ultrasound(P<0.05).Conclusion CT has a high accuracy rate in the qualitative diagnosis and localization diagnosis of closed abdominal trauma,and it is beneficial for guiding clinical treatment.