Clinical value analysis of multi-slice spiral CT in the diagnosis of acute thoracic and abdominal trauma
多层螺旋CT诊断急性胸腹部创伤的临床价值分析

摘要

目的 分析急性胸腹部创伤中应用多层螺旋CT的诊断价值。方法 回顾性收集分析2022年11月-2023年12月内于急诊科室就诊且接受B超诊断的50例急性胸腹部创伤患者资料为对照组，回顾性收集分析2023年11月-2024年12月内于急诊科室就诊且接受多层螺旋CT检查的50例急性胸腹部创伤患者资料为观察组，对比检查效能。结果 多层螺旋CT诊断率90%，高于B超诊断率84%，多层螺旋CT有3例误诊情况，B超检查有5例误诊，对比有统计学意义，P﹤0.05。结论 多层螺旋CT可诊断急性胸腹部创伤，有较高的准确率，当考虑有实质脏器出血，需加强扫描辅助诊断。

Abstract

Objective To analyze the diagnostic value of multi-slice spiral CT in acute thoracoabdominal trauma.
Methods The data of 50 patients with acute thoracoabdominal trauma who were diagnosed by B-ultrasound in the emergency department from November 2022 to December 2023 were retrospectively collected and analyzed as the control group. The data of 50 patients with acute thoracoabdominal trauma who were diagnosed by multi-slice spiral CT in the emergency department from November 2023 to December 2024 were retrospectively collected and analyzed as the observation group. The diagnostic efficacy was compared.
Results The diagnostic rate of multi-slice spiral CT was 90%, which was higher than that of B-ultrasound at 84%. There were 3 misdiagnoses with multi-slice spiral CT and 5 with B-ultrasound. The comparison was statistically significant, P < 0.05.
Conclusion   Multi-slice spiral CT can diagnose acute thoracoabdominal trauma with a high accuracy rate. When there is suspicion of hemorrhage in solid organs, enhanced scanning should be used to assist in diagnosis.