腹部创伤的CT诊断及临床意义

目的探讨腹部创伤的CT诊断价值及临床意义。方法随机选取2011年3月～2013年3月我院收治的120例腹部创伤患者,入院后分别给予B超、CT检查,将影像检查结果与治疗结果进行对照分析。结果 CT诊断腹部创伤的敏感性、特异性及准确率分别为94.9%、95.2%、95.0%,分别高于B超诊断的86.7%、84.4%、85.8%,均P〈0.05。本组120例腹部创伤患者,治愈104例,治愈率86.7%,死亡16例,死亡率13.3%。其中死于失血性休克9例（7.5%）,死于极重度颅脑损伤3例（2.5%）,死于术后多器官衰竭4例（3.3%）。结论 CT诊断腹部创伤具有较高的敏感性、特异性及准确性,可迅速、准确地诊断出腹腔实质脏器的受损情况,可应作为腹部创伤的重要影像学检查之一。

Diagnosis and its clinical significance of CT for abdominal trauma

Objective To explore the diagnosis value and clinical significance of CT for abdominal trauma. Methods A total of 120 cases of abdominal trauma patients were treated with B-after admission from March 2011 to March2013 in our hospital by CT examination,the imaging results and the treatment outcome were compared. Results The sensitivity,specificity and diagnostic accuracy of CT were 94.9%,95.2% and 95.0%, respectively higher than the B ultrasound diagnosis 86.7%,84.4%, 85.8%, all P 0.05. The group of 120 cases of abdominal trauma patients,104 cases were cured, the cure rate was 86.7%,16 deaths,the mortality rate of 13.3%. Which died of hemorrhagic shock nine cases（7.5%）, died of very severe traumatic brain injury in 3 cases（2.5%）, died of multiple organ failure after four cases（3.3%）. Conclusion CT diagnosis of abdominal trauma with high sensitivity, specificity and accuracy,can quickly and accurately diagnose the damage abdominal parenchymal organs, and can be one of the important imaging of abdominal trauma.