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目的研究B超与多层螺旋CT(MSCT)对于急诊腹部外部创伤的诊断价值。方法回顾性分析我院2015年3月~2016年3月收治的腹部外伤患者88例的B超及MSCT影像学资料,并对比B超与MSCT的诊断价值。结果 MSCT诊断率为88.64%(78/88),B超为84.09%(74/88),差异无统计学意义(P>0.05);B超对脾、肝、肾的诊断率优于MSCT,差异无统计学意义(P>0.05),但MSCT对肠系膜损伤及空腔脏器损伤的诊断率显著高于B超,差异有统计学意义(P<0.05)。结论 B超与MSCT对急诊腹部外伤均具有较高的诊断率,但两者各具优势,可考虑联合应用以提高诊断效果。
Objective To study the diagnostic value of B-ultrasound and multi-slice spiral CT (MSCT) in the diagnosis of external abdominal trauma. Methods A retrospective analysis of 88 patients with abdominal trauma admitted from March 2015 to March 2016 in our hospital was performed on B ultrasound and MSCT imaging data. The diagnostic value of B ultrasound and MSCT was compared. Results The diagnostic rate of MSCT was 88.64% (78/88) and B was 84.09% (74/88), with no significant difference (P> 0.05) There was no significant difference between the two groups (P> 0.05). However, the diagnostic value of MSCT for mesenteric injury and hollow organ injury was significantly higher than that for B ultrasound (P <0.05). Conclusion Both B-ultrasound and MSCT have high diagnostic rates for emergency abdomen trauma, but both of them have their respective advantages. They may be considered in combination to improve the diagnostic results.