CT平扫在腹部闭合性创伤诊断中的临床应用价值

目的：探讨急症CT平扫在腹部闭合性创伤诊断中的临床应用价值。方法选取本院2011年7月～2014年7月的260例腹部闭合性创伤行急症CT平扫患者作为研究对象,将CT诊断结果同患者实施手术治疗以及采取其他综合治疗后的诊断结果进行比较。结果260例患者中脾脏损伤54例,肾脏损伤34例,肝脏损伤27例,胰腺损伤8例,肠道损伤以及肠系膜损伤18例,胆道损伤2例,腹膜后血肿7例,未表现出脏器损伤的腹腔内少量积血患者8例。122例见不同程度的腹腔积血、积液。50例患者合并出现肋骨、脊柱及骨盆骨折,12例患者合并出现胸腹壁积气症状。CT平扫诊断的准确度为91.5%,灵敏度为91.1%,特异度为92.1%。结论CT平扫检查方便、快速,可清晰显示腹部闭合性创伤患者腹部脏器受损的位置以及受损程度,为患者的临床治疗提供重要参考依据。

Clinical application Value of CT plain scan in the diagnosis of blunt ab-dominal trauma

Objective To explore the clinical application value of CT plain scan in the diagnosis of blunt abdominal trauma（BAT） in emergency. Methods 260 patients with BAT from July 2011 to July 2014 in our hospital were examined by emergency CT plain scan.The diagnostic outcome by CT and results from surgical treatment or other comprehensive therapy were compared. Results Among all these participants,the number of injuries in spleen,kidney,liver,pancreas,in-testine and mesentery,biliary tract was 54,34,27,8,18,and 2 respectively.There were retroperitoneal hematoma in 7 cases and a small amount of hematocele in abdominal cavity without obvious injury in viscera in 8 cases.Hemoperitoneum and seroperitoneum occurred at varying degrees in 122 patients.Combined fractures of rib,spine,and pelvis occurred in 50 patients.12 cases combined with pneumatosis in thoracic wall and abdominal wall.The accuracy rate,sensitivity,and specificity of CT plain scan were 91.5%,91.1%,and 92.1% respectively. Conclusion CT plain scan is convenient and fast,and can clearly locate the position of injured abdominal organ and display the degree of injury in patients with BAT,which provide the important reference for clinical treatment.