胸部创伤的X线及CT诊断评价  

X ray and CT in diagnosis of chest injury

作　　者：成明富[1,2] 麻方法 吴玉玲[1,2] 张季明 

机构地区：[1]解放军第123医院CT室 [2]蚌埠海军士官学校门诊部

出　　处：《蚌埠医学院学报》1999年第3期185-186,共2页Journal of Bengbu Medical College

摘　　要：目的：探讨ＣＴ对胸部创伤的诊断价值。方法：对照分析３５例胸部创伤的Ｘ线平片及ＣＴ表现；ＣＴ扫描均采用骨算法重建，拍照时采用两种窗位拍摄。结果：胸廓骨折Ｘ线平片检出２７例，ＣＴ检出２１例，差异无显著性（Ｐ＞０．０５）；胸膜外伤ＣＴ检查２２例，Ｘ线平片检出１３例；肺部损伤ＣＴ检查３５例，Ｘ线平片检出１５例；差异均有显著性（Ｐ＜０．０１～Ｐ＜０．００５）。结论：胸部Ｘ线平片仍然是胸部创伤首选检查方法；ＣＴ能明确创伤病变的部位、性质，对肺损伤及胸膜外伤的诊断价值明显优于Ｘ线平片。Objective:To study the diagnostic value of CT in chest injury.Methods:Compared the expression in X ray film with that in CT in 35 cases of chest injury.Rebuilding with osteometry was adopted in CT scanning,and graphies from two windows.Results:Twenty seven cases of thoracic fractures were detected in X ray and 21 in CT( P >0.05);22 cases of pleural injuries were detected in CT and 13 in X ray( P <0.01);35 cases of lung injuries were detected in CT and 15 in X ray( P <0.005).Conclusions:X ray is still the first selected method for chest injuries.Position,character and degree of traumatic lesions can definitely be determined in CT. CT is more valuable than X ray in diagnosis of lung and pleural injuries.

关 键 词：胸部损伤 X线诊断 CT 

分 类 号：R655.04[医药卫生—外科学] R816.4[医药卫生—临床医学]