论文部分内容阅读
目的探讨腹部创伤的急诊CT表现,评价CT检查的诊断价值。方法回顾性分析68例腹部创伤病例的CT表现,扫描范围自膈顶至肾下极,部分病例作全腹扫描。所有病例均经手术治疗,治疗结果与CT诊断进行对照,观察急诊CT诊断腹部创伤的敏感性和特异性。结果 68例腹部创伤患者中,CT诊断与手术结果对照,64例相符,CT诊断符合率94.12%,6例诊断不全的原因为多发伤,尤其是血管和空腔脏器的损伤。结论急诊CT检查对腹部创伤具有较高的诊断价值,应作为腹部外伤急诊检查的常规之一。
Objective To investigate the emergency CT findings of abdominal trauma and evaluate the diagnostic value of CT. Methods The CT findings of 68 cases of abdominal trauma were retrospectively analyzed. The scope of the scan ranged from the top of the diaphragm to the lower pole of the kidney, and the partial abdominal radiography was performed in some cases. All patients were surgically treated, the results of the treatment and CT diagnosis were compared to observe the sensitivity and specificity of emergency CT diagnosis of abdominal trauma. Results 68 cases of abdominal trauma patients, CT diagnosis and surgical results of the control, 64 cases, CT diagnostic accuracy rate of 94.12%, 6 cases of incomplete diagnosis of multiple trauma, especially vascular and hollow organ damage. Conclusion The emergency CT examination has a high diagnostic value for abdominal trauma and should be used as one of the routine emergency examinations of abdominal trauma.