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目的对比分析X线平片与CT在胸部创伤患者中的临床应用价值,为患者选择经济合理的检查方案提供参考依据。方法选择医院2016年1月-2017年1月诊治的胸部创伤患者134例作为研究对象,均行X线平片及CT检查,对比分析两种检查方法对胸壁病变、肺部损伤、胸腔积血、皮下/纵隔气肿的检出率,以及两种检查方法的检查时间与费用情况。结果 X线平片及CT检查对胸壁病变的检出率比较差异无统计学意义(P>0.05);CT检查对肺部损伤、胸腔积血、皮下/纵隔气肿的检出率均显著高于X线平片,差异均有统计学意义(P<0.05)。X线平片的检查时间显著短于CT检查,且X线平片平均费用显著低于CT检查,差异均有统计学意义(P<0.05)。结论 X线平片是胸部创伤患者经济、便捷的检查方法,在临床应用中可根据患者病情综合CT检查提高疾病检出率,更好地指导临床工作。
Objective To compare and analyze the clinical value of X-ray and CT in patients with thoracic trauma, and provide reference for patients to choose an economical and reasonable test plan. Methods Totally 134 chest trauma patients diagnosed and treated in the hospital from January 2016 to January 2017 were selected for the study. All the patients underwent X-ray and CT examinations. The correlation between the two examinations on chest wall lesions, lung injury, pleural hemorrhage , Subcutaneous / mediastinal emphysema detection rate, as well as two examination methods of examination time and cost situation. Results There was no significant difference in the detection rate of chest wall lesions between X-ray and CT (P> 0.05). The detection rates of CT, pulmonary injury, pleural hemorrhage and subcutaneous / mediastinal emphysema were significantly higher In X-ray, the differences were statistically significant (P <0.05). X-ray examination time was significantly shorter than the CT examination, and the average cost of plain X-ray was significantly lower than the CT examination, the difference was statistically significant (P <0.05). Conclusion X-ray film is an economical and convenient method for the examination of chest trauma patients. In clinical application, it can improve the detection rate of disease according to the comprehensive CT examination of the patient’s condition and guide the clinical work better.