摘要
目的:探讨用CT检查对腹部闭合性损伤患者进行诊断的临床效果。方法 :对2010年1月~2014年2月期间我院收治的50例腹部闭合性损伤患者的临床资料进行回顾性研究。对这50例患者均使用CT检查和超声检查进行诊断,并对其进行手术治疗。然后,观察这些患者使用CT检查进行诊断的准确率。结果:经手术证实,这50例患者均存在腹部闭合性损伤。进行CT检查的结果为:在这50例患者中,有46例患者存在腹部闭合性损伤,进行诊断的准确率为92%。进行超声检查的结果为:在这50例患者中,有40例患者存在腹部闭合性损伤,进行诊断的准确率为80%。对腹部闭合性损伤患者使用CT检查进行诊断的准确率明显高于使用超声检查进行诊断的准确率,二者相比差异具有显著性(P<0.05)。结论 :对腹部闭合性损伤患者使用CT检查进行诊断的准确率高,可快速判断其损伤的部位及损伤的程度。此检查方法值得在临床上推广应用。
Objective: To investigate the clinical value of CT in diagnosis of blunt abdominal injury. Methods: a retrospective analysis of the clinical data of 50 patients with closed injury of abdomen CT scan in 2010 January ~2014 year in February in our hospital to hospital for treatment and to evaluate the value of CT scanning in the diagnosis of. Results: the diagnostic accuracy of CT was 92%, significantly higher than that of ultrasound diagnosis was 80%, the difference was statistically significant(P<0.05); the group of 50 cases by CT scan testing, found that a total of 61 substantial damage, mostly for organ injury, 12 cases of liver trauma sites, 20 cases of spleen, kidney 13 cases, 3 cases of adrenal gland, 2 cases of pancreatic. CT scan images can clearly demonstrate the ascites, lower ribs and lumbar fracture. Conclusion: CT diagnosis of blunt abdominal trauma patients, the diagnostic value of high, can clearly show the ascites, lower ribs and lumbar fracture, it is worthy of clinical application.
