CT对腹部闭合性损伤定性、定位诊断的应用价值
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摘要
目的探究电子计算机断层扫描(CT)对腹部闭合性损伤定性、定位诊断的应用价值。方法回顾性分析我院行手术治疗的98例腹部闭合性损伤患者临床资料,比较CT、超声检查与金标准(手术)定性及定位检出情况差异,评估CT、超声的诊断效能。结果 98例腹部闭合性损伤患者共出现108处实质性脏器损伤,24处为空腔脏器损伤;CT对腹部闭合性损伤的定性诊断准确率明显高于超声(P<0.05),且对腹部实质性脏器及空腔脏器损伤的定位诊断准确率均高于超声(P<0.05)。结论CT在腹部闭合性损伤定性、定位诊断中具有较高的准确率,对临床治疗有指导意义。
Objective To explore the application value of computed tomography(CT)in qualitative diagnosis and localization diagnosis of closed abdominal trauma. Methods The clinical data of 98 patients with closed abdominal trauma who underwent surgical treatment in our hospital were analyzed retrospectively. The differences of qualitative and localization detection conditions between CT, ultrasound and gold standard(surgery) were analyzed and compared, and the diagnostic value of the two methods was assessed. Results There were 108 parenchyma organ injuries and 24 hollow organ injuries among 98 cases of patients with closed abdominal trauma. The accuracy of qualitative diagnosis of closed abdominal trauma by CT was significantly higher than that by ultrasound(P<0.05), and the accuracies of localization diagnosis of abdominal parenchyma organ injuries and hollow organ injuries were higher than those by ultrasound(P<0.05). Conclusion CT has a high accuracy rate in the qualitative diagnosis and localization diagnosis of closed abdominal trauma, and it is beneficial for guiding clinical treatment.
Objective To explore the application value of computed tomography(CT)in qualitative diagnosis and localization diagnosis of closed abdominal trauma. Methods The clinical data of 98 patients with closed abdominal trauma who underwent surgical treatment in our hospital were analyzed retrospectively. The differences of qualitative and localization detection conditions between CT, ultrasound and gold standard(surgery) were analyzed and compared, and the diagnostic value of the two methods was assessed. Results There were 108 parenchyma organ injuries and 24 hollow organ injuries among 98 cases of patients with closed abdominal trauma. The accuracy of qualitative diagnosis of closed abdominal trauma by CT was significantly higher than that by ultrasound(P<0.05), and the accuracies of localization diagnosis of abdominal parenchyma organ injuries and hollow organ injuries were higher than those by ultrasound(P<0.05). Conclusion CT has a high accuracy rate in the qualitative diagnosis and localization diagnosis of closed abdominal trauma, and it is beneficial for guiding clinical treatment.
引文
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[14]张锐利,胡福长,何丽娉,等.成人肠憩室炎的超声诊断价值[J].中国超声医学杂志,2017, 33(10):946-948.
[2]张国庆,郭苏晋,弥娜.腹部闭合性内脏损伤的超声及CT诊断价值分析[J].中国CT和MRI杂志,2015, 13(10):90-92.
[3]戚淑芹.腹部实质脏器闭合性外伤的超声及C T影像表现与诊断分析[J].中国CT和MRI杂志,2016, 14(7):1 03-1 05.
[4]侯任昉,李和莅,黄丽.腹部创伤定点超声检查对急诊腹部闭合性创伤的临床诊断价值[J].医学临床研究,2017, 34(5):840-843.
[5]李大淦.腹腔穿刺术在外科急腹症和闭合性腹部损伤的诊断研究[J].河北医学,2016, 22(2):307-309.
[6]王金瑜,赵笔辉,胡燕标.腹部X线、螺旋C T及超声对肠梗阻的价值[J].医学影像学杂志,2016,26(6):1 1 35-11 38.
[7]田丽.多层螺旋CT对闭合性肠及肠系膜损伤的诊断价值[J].中国医疗设备,2017, 32(S1):65.
[8]戚凌.超声联合CT对成人急腹症的诊断效果[J].检验医学与临床,2017,14(2):254-255.
[9]张静,朱树龙,陈婷婷.多排螺旋CT对急性肠梗阻诊断的临床价值分析[J].医学影像学杂志,2017,27(5):967-969.
[10]李春辉,方进智.肝脏局灶性结节增生的超声、CT、MRI影像学表现及预后分析[J].中国辐射卫生,2017,26(5):619-622.
[11]Nellensteijn D R,Greuter M J,El M M,et al.The Use of CT Scan in Hemodynamically Stable Children with Blunt Abdominal Trauma:Look before You Leap[J].European Journal of Pediatric Surgery,2016,26(4):332-335.
[12]安利香.超声造影与C T对胰腺癌的诊断价值[J].实用癌症杂志,2017,32(4):653-655.
[13]邹全,王玉平,冯菲,等.腹部超声在新生儿坏死性小肠结肠炎诊断价值[J].中国超声医学杂志,2017,33(12):1091-1093.
[14]张锐利,胡福长,何丽娉,等.成人肠憩室炎的超声诊断价值[J].中国超声医学杂志,2017, 33(10):946-948.