Clinical application and accuracy of multi-slice spiral CT in the diagnosis of acute thoracicand abdominal trauma
多层螺旋CT诊断急性胸腹部创伤的临床应用及准确性研究

摘要

目的 分析对急性胸腹部创伤患者应用多层螺旋CT诊断的价值。方法 抽选2021年8月-2023年8月于我院就诊的急性胸腹部创伤患者82例，以分层随机分41例实施B超诊断，另外41例为观察组实施多层螺旋 CT诊断，对比两组诊断效果；结果 多层螺旋CT诊断率85.3%，明显高于B超诊断准确率82.9%，而在不同疾病脏器损伤上，同样是多层螺旋CT分级诊断灵敏度更高，差异显著，P﹤0.05。结论 急性胸腹部创伤的诊断主要以B超和多层螺旋CT为主，在胰腺、肠系膜以及腹膜后血肿上CT优于B超，当出现实质脏器损伤时，需行增强扫描进行辅助诊断。

Abstract

Objective To analyze the diagnostic value of multi-slice spiral CT in patients with acute thoracic and abdominal trauma.
Methods A total of 82 patients with acute chest and abdominal trauma were selected from our hospital from August 2021 to August 2023. B ultrasound diagnosis was performed in 41 cases randomly divided by stratification, and multi-slice spiral CT diagnosis was performed in the other 41 cases as the observation group.
Results The diagnostic rate of multi-slice spiral CT was 85.3%, which was significantly higher than the diagnostic accuracy of B-ultrasound (82.9%). In different diseases and organ injuries, the sensitivity of multi-slice spiral CT was higher, and the difference was significant (P<0.05).
Conclusion   The diagnosis of acute thoracic and abdominal trauma is mainly based on B-ultrasound and multi-slice spiral CT. CT is superior to B-ultrasound in pancreatic, mesentery and retroperitoneal hematoma. When there is parenchymal organ injury, enhanced scan is needed to assist the diagnosis.