探讨CT 检查在腹部创伤中的应用价值.docVIP

精品论文 参考文献 探讨CT 检查在腹部创伤中的应用价值 黄群国（四川绵阳市中心医院放射科 621000） 　　【摘要】目的 评价CT 检查在腹部创伤中的应用价值，总结经验。方法 以2011 年2 月～ 2015 年6 月，医院收治的500 例疑似腹部损伤患者作为研究对象，均进行CT、B 超检查，以手术发现、随访检查报告以及出院诊断报告、复查后临床诊断结果为最终诊断标准，对比检查效果。结果 CT、B 超检查结果见下表1，Kappa 系数=0.89，属于高度一致；CT 敏感度、特异度、阳性预测值、阴性预测值、符合率分别为86.05%、88.41%、79.57%、92.36%、87.60%，B 超分别为83.72 %、81.71%、70.59%、90.54%、82.40%，CT 特异度、阳性预测值、符合率高于B 超，差异具有统计学意义（P ＜ 0.05）；实质性脏器损伤343 处、空腔脏器损伤39 处，CT 检出实质性脏器损伤率89.80%（308/343）、空腔脏器损伤率69.23%（27/39，B 超则为80.47%（276/343）、51.28%??20/39），CT 检出实质性脏器损伤率、空腔脏器损伤率高于B 超，差异具有统计学意义（P ＜ 0.05）；积血CT 值（31plusmn;11）HU，高于肠液外渗（22plusmn;9）HU，差异具有统计学意义（P ＜ 0.05）。结论 相较于B超，CT 检查定性、定位诊断腹部创伤效果更理想。 　　【关键词】腹部创伤；CT；B 超；临床诊断【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-9753（2016）3-0009-02To explore the application value of CT examination in abdominal traumaHUANGQunguo(Department of Radiology,the Mianyang Central Hospital ,Mianyang, middot;Sichuan Province 621000, China)【 abstract 】 objective to evaluate the CT value in the application of abdominal trauma \check\, summarizes the experience indiagnosis. Methods from February 2011 to June 2011, the hospital treated 500 cases of suspected abdominal injury patients as theresearch object, CT, B ultrasound examination, found in surgery, follow-up inspection report and the discharge diagnosis, diagnosticcriteria, clinical diagnosis for the final after checking contrast diagnostic utility. Results CT, B ultrasound diagnosis results seetable 1, the Kappa coefficient = 0.89, belongs to the highly consistent; CT sensitivity, specific, positive predictive value, negativepredictive value, the coincidence rate was 86.05%, 88.41%, 79.57%, 92.36%, 79.57%, B ultrasound were 83.72%, 81.71%, 70.59%, 90.54%,70.59%, CT specific degree, positive predictive value, coincidence rate higher than that of B ultrasound, statistically significantdifference (P lt; 0.05); 343 solid visceral injury, cavity viscera damage and provenance, CT detection rate was 89.80% (308/343) solidvisceral injury, cavity viscera damage 69.23% (27/39, B ultr