急性闭合性腹部外伤螺旋CT表现及价值.docVIP

急性闭合性腹部外伤螺旋CT表现及价值 　　【摘要】 目的：探讨螺旋CT在急性闭合性腹部外伤诊断中的应用及其影像表现特点。方法：选择2016年1-6月笔者所在医院急诊科接受手术治疗的急性闭合性腹部外伤患者112例作为研究对象。所有患者均经外科手术证实，术前均接受螺旋CT检查，根据螺旋CT影像结果进行诊断，判断螺旋CT在急性闭性腹部外伤诊断中的准确率。结果：螺旋CT对单纯实质性脏器损伤诊断正确率为91.07%（51/56），对单纯空腔脏器损伤诊断正确率为78.13%（25/32），对实质性脏器合并空腔脏器的混合性损伤诊断正确率为75.00%（18/24）。结论：采用急诊螺旋CT诊断急性闭合性腹部外伤具有准确率高、检查迅速的优点，可有效指导临床治疗，具有提升患者急救、抢救效果以及改善临床预后的作用。 　　【关键词】 急性闭合性腹部外伤； 螺旋CT； 影像表现 　　doi：10.14033/j.cnki.cfmr.2017.12.026 文献标识码 B 文章编号 1674-6805（2017）12-0048-02 　　【Abstract】 Objective：To study the application of spiral CT in the diagnosis of acute blunt abdominal injury and its imaging performance characteristics.Method：Between January 2016 and June 2016，112 cases of patients with acute closed abdominal injury who accepted surgery treatment in the emergency department of our hospital were selected as the research object.All patients were confirmed by surgery，preoperative were examined by spiral CT， according to the result of spiral CT imaging diagnosis，the accuracy rate of spiral CT in the diagnosis of acute closed abdominal trauma was judged.Result：Spiral CT diagnostic accuracy to pure solid visceral injury was 91.07%（51/56），simple cavity viscera damage diagnostic accuracy was 78.13%（25/32），combination of merger of solid visceral cavity viscera damage diagnostic accuracy was 75.00%（18/24）.Conclusion：The emergency spiral CT in diagnosis of blunt abdominal trauma，has the advantages of high accuracy，check quickly，which can effectively guide the clinical treatment，patients with lifting effect of first aid，rescue and improve clinical outcomes. 　　【Key words】 Acute blunt abdominal injury； Spiral CT； Imaging demonstrated 　　First-author’s address：Yongchuan District Traditional Chinese Medicine Hospital of Chongqing，Chongqing 402160，China 　　?S着近年来交通、建筑事业的飞速发展，急性闭合性腹部外伤发生率逐年递增，已成为临床急诊科中发病率最高的创伤性疾病之一。急性闭合性腹部外伤一般病情较为复杂，尤其是合并有多器官脏器、多部位的腹部创伤，这类患者一般病情较为危重，给临床早期诊断带来极大的困难[1]。影像学检查是目前临床上应用最为广泛的急性闭合性腹部外伤辅助诊断方式，使螺旋CT常应用于急诊诊断急性闭合性腹部外伤[2]，本组研究旨在探讨螺旋CT在急性闭合性腹部外伤诊断中的应用价值，并总结其特征性影像表现，现将研究结