单用与联用超声检查、CT检查诊断肝脾损伤的效果对比

The contrast between single use and combined use of ultrasound and CT in the diagnosis of liver and spleen injury

目的:比较单用与联用超声检查、CT检查诊断肝脾损伤的效果.方法:选择2016年9月至2018年6月期间仁寿运长医院收治的56例肝脾损伤患者(其病情均经手术探查得到确诊,其中有肝脏损伤患者34例,有脾脏损伤患者22例)作为研究对象.在这56例患者入院后,对其均进行超声检查与CT检查,然后比较单用与联用超声检查、CT检查诊断其病情的准确率、误诊率及漏诊率.结果:联用超声检查与CT检查诊断这34例肝脏损伤患者病情的准确率高于单用超声检查或CT检查诊断其病情的准确率,P<0.05.联用超声检查与CT检查诊断这34例肝脏损伤患者病情的漏诊率低于单用超声检查或CT检查诊断其病情的漏诊率,P<0.05.联用超声检查与CT检查诊断这22例脾脏损伤患者病情的准确率高于单用超声检查或CT检查诊断其病情的准确率,P<0.05.联用超声检查与CT检查诊断这22例脾脏损伤患者病情的漏诊率低于单用超声检查或CT检查诊断其病情的漏诊率,P<0.05.结论:与单用超声检查或CT检查诊断肝脾损伤相比,联用这两种检查方式诊断肝脾损伤的准确率更高,漏诊率更低.

objective: to compare the effect of single ultrasound and combined ultrasound and CT examination in the diagnosis of liver and spleen injury. Methods: 56 patients with liver and spleen injury admitted to renshou yunchang hospital from September 2016 to June 2018 were selected as research objects (all cases were confirmed by surgical exploration, including 34 patients with liver injury and 22 patients with spleen injury). After admission, ultrasound examination and CT examination were performed on all the 56 patients, and then the accuracy, misdiagnosis and missed diagnosis rates of single and combined ultrasound examination and CT examination were compared. Results: the accuracy of ultrasonic examination and CT examination was higher than that of ultrasonic examination or CT examination alone in the diagnosis of 34 cases of liver injury, P < 0.05. The missed diagnosis rate of the 34 cases of liver injury diagnosed by combined ultrasound examination and CT examination was lower than that diagnosed by ultrasound examination or CT examination alone, P < 0.05. The accuracy of combined ultrasonic examination and CT examination was higher than that of single ultrasonic examination or CT examination, P < 0.05. The missed diagnosis rate of 22 cases of spleen injury diagnosed by combined ultrasound examination and CT examination was lower than that by single ultrasound examination or CT examination, P < 0.05. Conclusion: compared with ultrasonography or CT, combined examination is more accurate and less missed diagnosis.