探讨T检查在腹部创伤中的应用价值.docVIP

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) 】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;ll) HU,高于肠液外渗(22plusmn;9) HU，差 异爲有统计学意义(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 】R2 文献标 号】A 】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 \ncheck\n, 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 ultrasound was 80.47% (276/34