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DR与螺旋CT诊断急诊胸腹部创伤中的临床应用价值分析
引用本文:王秀波,赵建明,杨军舰,张鑫,卜祥珍. DR与螺旋CT诊断急诊胸腹部创伤中的临床应用价值分析[J]. 中国CT和MRI杂志, 2017, 0(3): 72-74. DOI: 10.3969/j.issn.1672-5131.2017.03.024
作者姓名:王秀波  赵建明  杨军舰  张鑫  卜祥珍
作者单位:山东省东营市东营区人民医院放射科 山东 东营 257000
摘    要:目的探讨DR和螺旋CT在急诊胸腹部创伤中的临床诊断效果及应用价值。方法选取2011年1月到2015年3月我院收治的190例急诊胸腹部创伤患者资料进行分析,入选患者均采用DR及其CT诊断,分析患者DR及其CT影像学表现,研究DR和螺旋CT在急诊胸腹部创伤中的临床诊断效果及应用价值。结果两种诊断方法对于肺挫伤、纵隔气肿、皮下气肿、肋骨骨折、胸腔积液、气胸以及膈肌损伤诊断差异不显著(P0.05);CT诊断方法确诊率均能够达到100%,显著高于DR诊断方法(P0.05)。结论急诊胸腹部创伤患者诊断过程中采用螺旋CT诊断效果理想,该诊断方法具有较高的准确率,能够对创伤部位进行精确定位和评估,值得推广使用。

关 键 词:DR和螺旋CT  急诊胸腹部创伤  诊断效果  应用价值

Clinical Application Value of DR and Spiral CT in the Diagnosis of Emergency Thoracic and Abdominal Trauma
Abstract:Objective To investigate the clinical diagnostic value of DR and spiral CT in emergency thoracic and abdominal trauma.Methods From January 2011 to 190 cases of thoracic and abdominal trauma patients admitted to our hospital in March 2015 were analyzed, the patients were selected by DR and CT in the diagnosis and imaging findings in patients with DR and CT analysis, clinical effect and application value of DR and spiral CT in thoracic and abdominal trauma in emergency.Results Two kinds of diagnostic methods for lung contusion, mediastinal emphysema, subcutaneous emphysema, rib fracture, pleural effusion, pneumothorax and diaphragmatic injury diagnosis had no significant difference (P>0.05). CT method of diagnosis rate can reach 100%, significantly higher than the diagnostic method of DR (P<0.05).Conclusion The ideal effect of spiral CT in the diagnosis of emergency abdominal trauma patients in the diagnosis process, the accuracy rate of the diagnosis method is high, can accurately locate and evaluate the trauma, is worthy to be popularized.
Keywords:DR and Spiral CT  Emergency Thoracic and Abdominal Trauma  Diagnosis Effect  Application Value
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