多层螺旋CT检查对闭合性腹部外伤的床诊断价值分析

林建平

（陕西省宝鸡市陈仓区医院，陕西 宝鸡，721300）

浏览次数：183次 下载次数：364次

摘要：

目的 探究多层螺旋CT检查对闭合性腹部外伤的临床诊断价值。方法 选择2014年10月至2016年10月宝鸡市陈仓区医院收治的60例闭合性腹部外伤患者，采用多层螺旋CT对其进行检查，分析其诊断符合率。结果 在60例闭合性腹部外伤患者中，多层螺旋CT检查阳性55例，阴性5例，诊断符合率为91.67%；其中单纯肝脏损伤15例，单纯胰腺损伤6例，单纯肾脏损伤16例，单纯脾脏损伤4例，肠管肠系膜损伤14例，多脏器复合性损伤5例。结论 采用多层螺旋CT检查闭合性腹部外伤患者，具有较高的诊断符合率，值得进一步推广应用。

关键词：多层螺旋CT；闭合性腹部外伤；肝脏损伤

中图分类号：R656.1文献标志码：A文章编号：2096-1413(2017)13-0139-02

Clinical value analysis of multi-slice spiral CT in the diagnosis of closed abdominal trauma
LIN Jian-ping
(Chencang District Hospital of Baoji, Baoji 721300, China)

ABSTRACT: Objective To evaluate the clinical value of multi-slice spiral CT in diagnosis of closed abdominal trauma. Methods Sixty cases of patients with closed abdominal trauma admitted in Chencang District Hospital of Baoji from October 2014 to October 2016 were selected. All the patients accepted multi -slice spiral CT examination, and the diagnostic coincidence rate was analyzed. Results In the 60 cases of closed abdominal trauma, the multi-slice spiral CT results showed there were 55 positive cases, 5 negative cases, the diagnostic rate of the patients was 91.67%. Of all the patients, it included 15 cases of simple liver injury, 6 cases of simple pancreatic injury, 16 cases of pure renal injury, 4 cases of pure spleen injury, 14 cases of intestinal mesenteric injury, and 5 cases of multiple organ damage. Conclusion Multi-slice spiral CT applied in patients with closed abdominal trauma has high diagnostic coincidence rate, which deserves further application.
KEYWORDS: multi-slice spiral CT examination; closed abdominal trauma; liver injury

参考文献：
[1] 邓海.多层螺旋CT 在闭合性腹部外伤中的应用[J].中国实用医药,2013,8(2):114.
[2] 席英发.多层螺旋CT 扫描对闭合性腹部外伤的诊断价值[J].内蒙古中医药,2014,33(13):80.
[3] 薛伟.CT 诊断急性闭合性腹部外伤应用及价值探究[J].心理医生,2016,22(22):243-244.
[4] 阿布力克木·阿布都许库尔.B 超与多层螺旋CT 诊断急诊腹部外部创伤的应用价值研究[J].临床医药文献电子杂志,2016,3(32):6443,6445.
[5] 王珏,刘明.多层螺旋CT 在腹部外伤影像诊断中的价值[J].临床医药文献电子杂志,2016,3(15):3103-3104.
[6] 农达知,潘广松.多层螺旋CT 平扫对闭合性腹部实质性脏器急性损伤的诊断价值[J].广西医学,2014,36(1):124-125.
[7] SCAIFE ER,ROLLINS MD,BARNHART DC,et al.The role of focused abdominal sonography for trauma (FAST) in pediatric trauma evaluation[J].J Pediatr Surg,2013,48(6):1377-1383.
[8] 张秀江,曹丽君.CT 诊断外伤性胰腺部分断裂合并假性囊肿1例 [J].中国中西医结合影像学杂志,2015,13(2):224.
[9] 郭乃才,赵玉霞.腹部创伤的CT 影像学表现及诊断价值[J].中华劳动卫生职业病杂志,2015,33(8):613-615.
[10] 王二君,杨培金,田卫兵,等.CT 平扫诊断腹部实质脏器及空腔脏器损伤的临床价值[J].河南外科学杂志,2016,22(6):49-50.
[11] SHARP NE,SVETANOFF WJ,ALEMAYEHU H,et al.Lower radiation exposure from body CT imaging for trauma at a dedicated pediatric hospital[J].J Pediatr Surg,2014,49(12):1843-1845.
[12] 莫林新.CT 在腹部创伤患者诊断中的作用分析[J].世界临床医学,2016,10(16):231.
[13] 张荣飞.腹部急性损伤的螺旋CT 诊断价值[J].内蒙古医学杂志, 2013,45(1):84-86.
[14] GARVEY EM,HAAKINSON DJ,MCOMBER M,et al.Role of ERCP in pediatric blunt abdominal trauma: a case series at a level one pediatric trauma center[J].J Pediatr Surg,2015,50(2):335-338.
[15] 蒲小洪,张坤秀,刘奇峰,等.多层螺旋CT诊断急性腹部闭合性外伤的临床价值[J].医学影像学杂志,2012,22(2):294-295.
[16] 郗新娟.对比多层螺旋CT三维重建成像与DR平片在胸腹闭合性损伤诊断中的应用价值[J].医学信息,2015,28(22):81-82.