腹部创伤CT诊断与临床价值评估探析.docVIP

腹部创伤的CT诊断及临床价值评估分析 　　[摘要] 目的 探究CT诊断法在腹部创伤中的实际应用，并对其临床价值做出准确的评估，以供临床诊断借鉴。方法 随机择取该院于2011年1月―2015年6月接收入院的腹部创伤患者，共计106例作为研究的主要对象。106例患者于入院后，均实施了相应的CT检查，且所有患者也都接受了相应的手术及病理学诊断。将106例患者CT检查的结果作为CT组，手术诊断的结果作为手术组，病理学诊断的结果作为病理学组。对3组的诊断结果进行详细的对比分析，并评估出CT诊断法在腹部创伤中的应用价值。结果 手术组与病理学组均显示，胰腺损伤，共15例；肾脏损伤，共13例；脾脏损伤，共45例；肝脏损伤，共14例；胆道损伤，共11例；血管损伤患者，共2例。而CT组则显示，胰腺损伤，共15例（14.15%）；肾脏损伤，共13例（12.26%）；脾脏损伤，共51例（48.11%）；肝脏损伤，共16例（15.09%）；胆道损伤，共11例（10.38%）。以手术及病理学组为标准，CT组确诊患者共104例；误诊患者共2例（1.89%），该2例患者的患病类型本为血管损伤，但被误诊为肝脏损伤。该CT检查的准确率高达98.11%。 结论 将CT诊断法应用于腹部创伤等器官性损伤类疾病的临床诊断中，不仅能显著提升诊断的准确性，还能为腹部创伤患者的临床治疗提供主要依据，具有相当高的临床应用价值 [关键词] 肝脏损伤；CT诊断；脾脏；腹部创伤；临床价值 [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）12（a）-0177-03 [Abstract] Objective To explore the practical application of CT diagnostic method in abdominal trauma and make an accurate assessment of its clinical value in order to provide reference for major medical institutions in China. Methods 106 cases of abdominal trauma patients admitted to our hospital from January 2011 to June 2015 were randomly selected as the main reseach object of this study. After admission， 106 cases were given the corresponding CT inspection， and all patients underwent the corresponding surgery and pathological diagnosis. Of the 106 patients，the results of CT examination were regarded as the CT group， the results of operative diagnosis were regarded as the operation group， and the results of pathological diagnosis were regarded as the pathological group， The diagnostic results of the three groups were compared and analyzed in detail， and the application value of CT diagnosis in abdominal trauma was evaluated. Results Both the operation group and the pathological group showed that 15 cases were pancreatic injury； 13 cases were kidney injury； 45 cases were spleen injury； 14 cases were liver injury； 11 cases were bile duct injury and 2 cases were vascular injury. While the CT group showed that 15 cases were pancreatic injury （14.15%）； 13 cases were kidney injury （12.26%）；