急诊胸腹部创伤诊断中DR与螺旋CT的应用价值

Application Value of DR and Spiral CT in Emergency Diagnosis of Thoracic and Abdominal Trauma

目的分析急诊胸腹部创伤诊断中DR与螺旋CT的应用价值。方法2012年5月—2018年9月,于该院急诊收治的胸腹部创伤患者中选取377例,均行CT与DR检查,对其影像学表现进行研究分析,对比两种诊断方式的应用价值。结果螺旋CT诊断各种急诊胸腹部创伤的诊断符合率均为100.00%,且膈肌损伤(χ^2=5.663 2)、肠系膜撕裂伤(χ^2=6.128 95)、腹腔积血(χ^2=7.526 2)、胰腺损伤(χ^2=8.632 5)、肾脏损伤(χ^2=9.122 6)、脾脏损伤(χ^2=6.337 4)、肝脏损伤(χ^2=3.262 5)、纵隔血肿(χ^2=5.962 6)、纵隔气肿(χ^2=8.887 4)均于DR诊断率差异有统计学意义(P<0.05)。结论急诊胸腹部创伤诊断中螺旋CT的应用价值优于DR,存在良好推广价值。

Objective To analyze the application value of DR and spiral CT in the diagnosis of thoracic and abdominal trauma in emergency department.Methods From May 2012 to September 2018,377 patients with thoracic and abdominal trauma admitted to our hospital were examined by CT and DR.The imaging findings were analyzed.The value of the two diagnostic methods was compared.Results The diagnostic coincidence rate of spiral CT in various emergency thoracic and abdominal traumas was 100.00%.There was significant difference between the two groups in the diagnostic coincidence rate of diaphragm injury(χ^2=5.663 2),mesenteric laceration(χ^2=6.1289 5),peritoneal hemorrhage(χ^2=7.526 2),pancreatic injury(χ^2=8.632 5),kidney injury(χ^2=9.122 6),spleen injury(χ^2=6.337 4),liver injury(χ^2=3.262 5),mediastinal hematoma(χ^2=5.962 6),mediastinal emphysema(χ^2=8.887 4)(P<0.05).Conclusion The application value of spiral CT in the diagnosis of thoracic and abdominal trauma in emergency department is better than DR,and it has good value of promotion.