多层螺旋CT诊断对急性胸腹部创伤患者的作用

The effect of multi-slice spiral CT diagnosis on patients with acute chest and abdominal trauma

目的:观察多层螺旋CT平扫对急性胸腹部创伤患者的诊断效果。方法:选取2017年3月—2018年6月我院收治的急性胸腹部创伤患者60例,在未口服造影剂的情况下进行16层螺旋CT平扫,详细记录患者的个人资料、基础疾病、临床特征及CT扫描结果,观察多层螺旋CT平扫对胸腹部创伤诊断的敏感性和特异性。结果:诊断实质脏器损伤的敏感性为94.4%(51/54),特异性为83.3%(5/6),空腔脏器损伤的敏感性为76%(19/25),特异性为80%(28/35)。结论:多层螺旋CT平扫对急性胸腹部创伤患者具有较高的诊断价值,其中对肾上腺损伤诊断的敏感性和特异性较高,对空腔脏器和系膜血管损伤诊断的敏感性和特异性较低。

Objective To observe the diagnostic effect of multi-slice spiral CT plain scan on patients with acute chest and abdominal trauma.Methods 60 patients with acute chest and abdominal trauma admitted to our hospital from March 2017 to June 2018 were enrolled.16-slice spiral CT scans were performed without oral contrast.The patient's personal data and underlying diseases were recorded in detail.Clinical features and CT scan results,the sensitivity and specificity of multi-slice spiral CT scan for the diagnosis of chest and abdominal trauma were observed.Results The sensitivity of diagnosis of parenchymal organ damage was 94.4%(51/54),the specificity was 83.3%(5/6),and the sensitivity of hollow organ injury was 76%(19/25).The specificity was 80%(28/35).Conclusion MSCT is of high diagnostic value for patients with acute thoracoabdominal trauma,with high sensitivity and specificity for the diagnosis of adrenal injury and low sensitivity and specificity for the diagnosis of the injury of hollow organs and mesangial vessels.