CT对腹部实质脏器闭合性外伤的诊断研究

Diagnosis of Closed Trauma of Abdominal Parenchyma by CT

目的分析在腹部实质脏器闭合性外伤诊断中应用CT诊断的价值。方法选取该院2017年6月-2019年6月期间收治的110例腹部实质脏器闭合性外伤患者作为该次研究对象,110例患者先后行超声检查和CT检查,对比两种检查方法的诊断结果。结果 100例患者腹部实质脏器闭合性外伤超声、CT检查诊断率对比,超声检查下,肝脏损伤诊断率为84.9%,肾脏损伤诊断率为90.5%;CT检查下,肝脏损伤诊断率为88.7%,肾脏损伤诊断率为95.2%;两种方法的检查诊断率对比,差异无统计学意义(P>0.05)。超声检查下,脾脏损伤诊断率为72.2%,多脏器损伤诊断率为80.0%,合计诊断率为80.5%;CT检查下,脾脏损伤诊断率为90.7%,多脏器损伤诊断率为100.0%,合计诊断率为90.6%;两种方法的检查诊断率中,CT检查的诊断率明显更高,差异有统计学意义(P<0.05)。结论在腹部实质脏器闭合性外伤检查中,超声检查及CT检查都具有较高的诊断率,但是在多脏器损伤及脾脏损伤诊断中,CT检查的诊断率更高,具有明显的优势。

Objective To analyze the value of CT in the diagnosis of abdominal parenchymal closed trauma. Methods110 patients with closed parenchymal abdominal trauma treated in the hospital from June 2017 to June 2019 were selected as the subjects of this study. 110 patients underwent ultrasound and CT examinations, and compared the two examination methods’ diagnostic results. Results The diagnostic rates of ultrasound and CT of 100 patients with closed parenchyma of abdominal parenchyma were compared. The diagnostic rate of liver injury was 84.9% and the diagnostic rate of kidney injury was 90.5% under ultrasound. The diagnostic rate of liver injury was 88.7% under CT, the diagnosis rate of renal injury was 95.2%;there was no significant difference in the diagnosis rate of the two methods(P>0.05). Under ultrasound examination, the diagnosis rate of spleen injury was 72.2%, the diagnosis rate of multiple organ damage was 80.0%, and the total diagnosis rate was 80.5%. Under CT examination, the diagnosis rate of spleen injury was 90.7%, and the diagnosis rate of multiple organ damage was 100.0%. The total diagnosis rate was 90.6%.Among the two methods, the diagnosis rate of CT examination was significantly higher and the difference was significant(P <0.05). Conclusion In the examination of abdominal parenchymal closed trauma, both ultrasound and CT have a higher diagnosis rate. However, in the diagnosis of multiple organ damage and spleen injury, CT has a higher diagnosis rate and has obvious advantages.