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CT对腹部创伤的临床诊断价值分析
郑显秋1, 万梦楠1, 陶元萍2, 郭志2, 蒋平3, 许崇永2
1.温州市瓯海区第二人民医院放射科;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
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。
关键词:  腹部创伤  彩色超声  体层摄影术,X 线计算机
DOI:
分类号:
基金项目:
Multi-slice spiral CT in diagnosis of abdominal trauma
ZHENG Xianqiu,WAN Mengnan,TAO Yuanping,GUO Zhi,JIANG Ping,XU Chongyong
the Second People's Hospital of Ouhai
Abstract:
Objective 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. 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 standard,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 differences in diagnostic value between two methods(all P<0.05). Conclusion Multi-slice spiral CT examination has high sensitivity,specificity and accuracy in diagnosis of abdominal trauma.
Key words:  Abdominal trauma  Color Doppler ultrasound  Tomography X-ray computed