摘要
目的分析多层螺旋CT诊断急性胸腹部创伤的临床价值及检出情况。方法择取2018年5月—2019年12月期间该院就诊的急性胸腹部创伤患者115例,均采取DR及多层螺旋CT进行检查,获取检查结果,分析检查价值。结果 CT摄片质量分布情况好于DR,差异有统计学意义(Z=17.287,P<0.01);CT检查肋骨骨折、脾脏损伤、肾脏损伤、胰腺损伤腹盆腔积血及膈肌损伤与手术或病理诊断相符率高于DR与手术或病理诊断相符率,差异有统计学意义(χ^(2)=6.305、10.976、14.455、22.286、4.320、4.727,P<0.05);CT检查肩胛骨骨折、锁骨骨折、胸腔积液、气胸、肺不张、纵隔气肿、纵隔血肿、皮下气肿、骨盆损伤、盆腔血肿,与手术或病理诊断相符率与DR相符率差异无统计学意义(χ^(2)=2.286、3.015、3.164、2.095、2.111、1.091、1.091、3.257、2.133、3.192,P>0.05);CT摄片总满意率91.30%高于DR的80.87%,差异有统计学意义(χ^(2)=5.227,P=0.022)。结论多层螺旋CT在诊断急性胸腹部创伤的临床价值及检出率均较高。
Objective To analyze the clinical value and detection of multi-slice spiral CT in the diagnosis of acute chest and abdomen trauma.Methods A total of 115 patients with acute chest and abdomen trauma who were treated in the hospital from May 2018 to December 2019 were selected.All of them were examined by DR and multi-slice spiral CT to obtain the examination results and analyze the examination value.Results The quality distribution of CT images was better than that of DR,and the difference was statistically significant(Z=17.287,P<0.01);CT examination of rib fracture,spleen injury,kidney injury,pancreatic injury,abdominal and pelvic hemorrhage,and diaphragm injury were more consistent with surgery or pathological diagnosis than DR and DR,surgical or pathological diagnosis coincidence rate,the difference was statistically significant(χ^(2)=6.305,10.976,14.455,22.286,4.320,4.727,P<0.05);CT examination of scapula fracture,clavicle fracture,pleural effusion,pneumothorax,atelectasis,mediastinal emphysema,mediastinal hematoma,subcutaneous emphysema,pelvic injury,pelvic hematoma,and the coincidence rate with surgery or pathological diagnosis was consistent with DR.The rate difference was not statistically significant(χ^(2)=2.286,3.015,3.164,2.095,2.111,1.091,1.091,3.257,2.133,3.192,P>0.05);the total satisfaction rate of CT photography was 91.30%higher than the 80.87%of DR,and the difference was statistically significant(χ^(2)=5.227,P=0.022).Conclusion Multi-slice spiral CT has a high clinical value and detection rate in the diagnosis of acute chest and abdomen trauma.
作者
杨尊现
YANG Zunxian(Department of Imaging,Central Hospital of Zibo Mining Group Co.,Ltd.,Zibo,Shandong Province,255120 China)
出处
《世界复合医学》
2021年第4期62-65,共4页
World Journal of Complex Medicine
关键词
多层螺旋CT
急性胸腹部创伤
临床价值
检出率
Multi-slice spiral CT
Acute chest and abdomen trauma
Clinical value
Detection rate
