闭合性肾脏损伤CT分型中多层螺旋CT增强扫描的应用价值分析

Analysis on application value of multi-slice spiral CT enhanced scan in CT classification of blunt renal injury

目的对闭合性肾脏损伤CT分型中多层螺旋CT增强扫描的应用价值进行分析。方法回顾性分析2014年2月~2017年5月收治的42例闭合性肾脏损伤患者的MSCT检查资料,对平扫与增强扫描诊断结果进行对比,在闭合性肾脏损伤CT分型中多层螺旋CT增强扫描的应用价值。结果所有闭合性肾脏损伤平扫和增强扫描对分型结果存在差异,平扫会对损伤程度产生低估效果,增强检查的分型诊断和临床更相似。患者对增强扫描满意度评分优于平扫,差异有统计学意义(P <0.05)。结论闭合性肾脏损伤的分型诊断应用MSCT增强扫描具有显著效果,可为医生临床治疗提供可靠依据,提高患者满意度,如条件允许可作为常规检查闭合性肾脏损伤方式。

Objective To analyze the application value of multi-slice spiral CT(MSCT)enhanced scan in CT classification of blunt renal injury. Methods MSCT data of 42 patients with blunt renal injury who were admitted and treated in our hospital from February 2014 to May 2017 were retrospectively analyzed.The diagnostic results of plain scan and enhanced scan were compared and the application value of multi-slice spiral CT enhanced scan in CT classification of blunt renal injury was evaluated. Results There were differences in the classification results between plain scan and enhanced scan for blunt renal injury.Plain scan could underestimate the degree of injury while classification diagnosis of enhanced scan was more similar to that in clinical practice.The satisfaction score of patients with enhanced scan was better than that of plain scan,and the difference was statistically significant(P<0.05).Conclusion Application of MSCT enhanced scan in CT classification diagnosis of blunt renal injury has a significant effect.It can provide a reliable basis for doctors’ clinical treatment and improve patients’ satisfaction.If conditions permit,it can be used as a routine examination of blunt renal injury.