腹部创伤的CT诊断及其临床意义

目的探讨螺旋CT在腹部创伤中的诊断价值及临床意义。方法随机选取2010年1月至2013年1月入我科行CT检查的178例腹部创伤患者,将其CT检查结果与临床随访和外科剖腹探查证实的诊断结果进行对比分析。结果肝脏损伤19例,脾脏损伤13例,空腔脏器及系膜血管损伤共26例。与随访和手术探查诊断结果比较,发现肝脏损伤假阳性4例,假阴性2例,敏感性为88.23%,特异性为97.65%;脾脏损伤假阳性2例,假阴性2例,敏感性为84.62%,特异性为98.82%;空腔脏器及系膜血管损伤假阳性7例,假阴性为6例,敏感性为76%,特异性为95.88%。结论腹部CT检查对肝脾等器官具有较高诊断价值,有高敏感性,对空腔脏器及系膜血管等敏感性较低。

CT diagnosis and its clinical significance of abdominal trauma

Objective To explore the diagnosis value and clinical significance of spiral CT on abdominal trauma. Methods Randomly selected 178 abdominal trauma patients who recieved CT inspection in our department from 2010 January to 2013 January, compared the findings of CT with the clinical follow-up and surgery laparotomy, then observed the compliance. Results IN the 170 patients with abdominal trauma, there were 19 cases of liver injuries, 13 cases of spleen injuries, hollow viscera and mesentery vascular injuries were 26 cases. Compared with the follow-up and operation diagnosis results, there were 4 false-negative and 2 false-pesitive in liver injury, and the sensitivity was 88.23%, specificity was 97.65%; there were 2 false-negative and 2 false-pesitive in spleen injury, and the sensitivity was 84.62%, specificity was 98.82%; and there were 7 false-negative and 6 false-pesitive in hollow viscera and mesenteric vascular injury, the sensitivity was 76%, specificity was 95.88%. Conclusion Abdominal CT examination has a high value for the diagnosis of liver and spleen and other organs, Gao Min emotional, the hollow viscera and mesenteric vessels have low sensitivity.