探讨CT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 R2 文献标 号 A 2095-9753 (2016) 3-0009-02To explore the application value of CT exami nation in abdomi nal traumaHUANGQu nguo(Department of Radiology,the Mianyang Central Hospital ,Mianyang, middot;Sichuan Provinee 621000, China) abstract objective to evaluate the CT value i n the applicatio no f abdominal trauma VcheckX1, summarizes the experience indiagnosis. Methods from February 2011 to June 2011, the hospital treated 500 cases of suspected abdomi nal in jury patients as theresearch object, CT B ultrasound examination, found in surgery, follow-up inspection report and the discharge diagnosis, diagnosticcriteria, clinical diag nosis for the final after checki ng con trast diag no Stic 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, coincidenee rate higher than that of B ultrasound, statistically sign 讦 ican td iff ere nee (P lt; 0.05); 343 solid visceral injury, cavity viscera damage and prove nan ce, CT detection rate was 89.80% (308/343) solidvisceral injury, cavity viscera damage 69.23% (27/39, B ultrasound