螺旋CT在急性胸部创伤患者中的诊断及创伤类型评估的价值探讨  

The Value of Spiral CT in the Diagnosis and Evaluation of Trauma Types in Patients with Acute Chest Trauma

作　　者：叶慧[1] YE Hui(Department of Imaging,Taixing Hospital of Traditional Chinese Medicine,Taizhou,Jiangsu Province,225400 China)

机构地区：[1]江苏省泰兴市中医院影像科,江苏泰州225400

出　　处：《中外医疗》2021年第25期177-180,共4页China & Foreign Medical Treatment

摘　　要：目的分析急性胸部创伤患者以螺旋CT诊断的临床应用价值及评估创伤类型的影像表现。方法方便选取2018年1月—2020年7月该院收治的急性胸部创伤患者96例进行分析,均予以数字X线摄影(DR)、螺旋CT进行检查,以手术病理结果为金标准,对比两种检查针对各创伤类型的评估准确率,分析螺旋CT影像结果。结果经手术病理诊断,39例患者确诊为肋骨骨折,占比40.63%,15例患者确诊为肺挫伤,占比15.63%,13例患者为肺撕裂伤,占比13.54%,11例患者出现血气胸,占比11.45%,10例患者诊断为创伤性湿肺,占比10.42%,8例患者诊断为创伤性膈疝,占比8.33%,螺旋CT诊断不同急性胸部创伤类型准确率均明显高于DR诊断,差异有统计学意义(P<0.001)。结论螺旋CT诊断急性胸部创伤优势在于扫描速度快、图像质量清晰、分辨率高、更为准确,能够为临床疾病后续治疗提供可靠数据支持,值得应用推广。Objective To analyze the clinical application value of spiral CT diagnosis in patients with acute chest trauma and to evaluate the imaging manifestations of the type of trauma.Methods Ninety-six patients with acute chest trauma admitted to the hospital from January 2018 to July 2020 were analyzed by convenience selection.Digital X-ray(DR)and spiral CT were used for examination.The gold standard of surgical pathology results was used to compare the evaluation accuracy of the two examinations for each type of trauma,and the spiral CT image results were analyzed.Results After surgical pathological diagnosis,39 patients were diagnosed as rib fracture,accounting for 40.63%,15 patients as pulmonary contusion,13 patients as pulmonary laceration,accounting for 13.54%,11 patients as pneumothorax,accounting for 11.45%,10 patients as traumatic wet lung,accounting for 10.42%.8 patients were diagnosed as traumatic diaphragmatic hernia,accounting for 8.33%.The accuracy of spiral CT in diagnosing different types of acute thoracic trauma was significantly higher than that of DR diagnosis,the difference was statistically significant(P<0.05).Conclusion The advantages of spiral CT in the diagnosis of acute thoracic trauma lie in its fast scanning speed,clear image quality,high resolution and more accurate.It can provide reliable data support for the follow-up treatment of clinical diseases,and is worthy of application and promotion.

关 键 词：螺旋CT 急性胸部创伤 诊断 创伤类型评估 

分 类 号：R73[医药卫生—肿瘤]