胸部CT与X线检查诊断胸部闭合性损伤的价值

The Value of Chest CT and X-ray Examination in Diagnosing Closed Thoracic Injury

目的:分析研讨胸部CT与X线检查诊断胸部闭合性损伤的临床作用。方法:随机从我院2016年4月至2018年5月期间收治的胸部闭合性损伤患者中抽取80例进行讨论,患者均接受X线和CT检查,分析检查结果,比较两者诊断价值。结果:80例患者均接受影像学和临床表现得到确诊,包含3例膈肌破裂,10例创伤性湿肺,33例肺挫裂伤,65例肋骨骨折,22例血气胸,7肺不张。CT检查创伤性湿肺率80%、肺挫裂伤96.97%、血气胸90.91%、肺不张100%高于X线片检出率40%、69.70%、59.09%、42.86%,数据差异较大(P<0.05)。但在膈肌破裂、肋骨骨折检出率上,差异较小(P>0.05)。结论:建议临床诊断胸部闭合性损伤疾病可考虑首选胸部CT,与X线片检查比较,检查效果更为准确,可根据患者病情和症状合理选择治疗方式,提升疾病诊断率和治疗疗效。

Objective:To analyze and discuss the clinical effect of chest CT and X-ray examination in the diagnosis of closed chest injury.Methods:From April 2016 to May 2018, 80 patients with closed chest injury were randomly selected for discussion. All patients underwent X-ray and CT examinations. The results were analyzed and the diagnostic value was compared.Results:All 80 patients were diagnosed by imaging and clinical manifestations, including 3 diaphragm rupture, 10 traumatic wet lung, 33 pulmonary contusion and laceration, 65 rib fracture, 22 hemopneumothorax and 7 atelectasis. CT examination showed 80% of traumatic wet lung, 96.97% of contusion and laceration, 90.91% of hemopneumothorax and 100% of atelectasis were higher than X-ray examination in detection rate of 40%, 69.70%, 59.09% and 42.86%. There were significant differences in data(P < 0.05). However, there was little difference in the detection rate of diaphragm rupture and rib fracture(P > 0.05).Conclusion:It is suggested that chest CT should be considered as the first choice for clinical diagnosis of closed chest injury. Compared with X-ray examination, the results of examination are more accurate, and the treatment methods can be reasonably selected according to the patient’s condition and symptoms, so as to improve the diagnostic rate and therapeutic effect of the disease.