CT对腹部创伤的临床诊断价值分析  

Multi-slice spiral CT in diagnosis of abdominal trauma

作　　者：郑显秋 万梦楠 陶元萍[2] 郭志[2] 蒋平[3] 许崇永[2] 

机构地区：[1]温州市瓯海区第二人民医院放射科,325006 [2]温州医科大学附属第二医院放射科 [3]温州医科大学附属第二医院肝胆外科

出　　处：《浙江医学》2015年第11期948-950,共3页Zhejiang Medical Journal

摘　　要：目的探讨多层螺旋CT在腹部创伤诊断中的临床价值。方法对132例腹部创伤患者的临床资料进行回顾性分析,所有患者入院后均行CT和彩色超声检查,以手术诊断结果为金标准对检查结果进行分析。结果 CT检查对腹部创伤诊断的灵敏度、特异度和准确率分别为93.67%、97.06%、94.69%;彩色超声检查对腹部创伤诊断的灵敏度、特异度和准确率分别为86.96%、86.36%和86.73%;两种检查灵敏度、特异度和准确率比较差异均有统计学意义(均P<0.05)。结论 CT对腹部创伤诊断的准确率、灵敏度及特异度都较高,可作为腹部创伤后对实质脏器损伤情况评价的重要影像学检查方法。Objective One hundred and thirty two patients with abdominal trauma underwent CT scan and ultrasono- graphic examination at admission. The imaging results and the outcome of patients were retrospectively analyzed. Methods One hundred and thirty two patients with abdominal trauma underwent CT scan and ultrasonographic examination at admission. The imaging results and the outcome of patients were retrospectively analyzed. Results With the surgical results as gold stan- dard, the sensitivity, specificity, accuracy rate of CT scan in diagnosis of abdominal trauma were 93.67%, 97.06% and 94.69%, respectively; those of color Doppler ultrasonography were 86.96%, 86.36% and 86.73%, respectively. There were significant dif- ferences in diagnostic value between two methods（all P〈O.05）. Conclusion Multi-slice spiral CT examination has high sensitivi- ty, specificity and accuracy in diagnosis of abdominal trauma.

关 键 词：腹部创伤 彩色超声 体层摄影术 X线计算机 

分 类 号：R656.1[医药卫生—急诊医学] R816.5[医药卫生—外科学]