中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
36期
13-14
,共2页
超声%CT%腹部实质脏器闭合性外伤
超聲%CT%腹部實質髒器閉閤性外傷
초성%CT%복부실질장기폐합성외상
Ultrasound%CT%Abdominal solid organ closed trauma
目的：探讨超声和CT对腹部实质脏器闭合性外伤的临床诊断价值。方法67例腹部实质脏器闭合性外伤患者，使用超声和CT进行检查，共检查出外伤灶84个，对外伤灶的超声及CT具体表现进行回顾性总结和分析。结果本组84个外伤灶，经超声检查出74个(88.10%)，经CT检查出77个(91.67%)，两种方法比较，差异无统计学意义(P>0.05)。在17个复合脏器损伤中，使用超声诊断出16个(94.12%)，使用CT检查出17个(100.00%)。结论一般情况下不需要CT和超声诊断联合应用，对单一脏器损伤的患者可以选择超声做检查，对复合脏器损伤患者应首先考虑选择使用CT检查。
目的：探討超聲和CT對腹部實質髒器閉閤性外傷的臨床診斷價值。方法67例腹部實質髒器閉閤性外傷患者，使用超聲和CT進行檢查，共檢查齣外傷竈84箇，對外傷竈的超聲及CT具體錶現進行迴顧性總結和分析。結果本組84箇外傷竈，經超聲檢查齣74箇(88.10%)，經CT檢查齣77箇(91.67%)，兩種方法比較，差異無統計學意義(P>0.05)。在17箇複閤髒器損傷中，使用超聲診斷齣16箇(94.12%)，使用CT檢查齣17箇(100.00%)。結論一般情況下不需要CT和超聲診斷聯閤應用，對單一髒器損傷的患者可以選擇超聲做檢查，對複閤髒器損傷患者應首先攷慮選擇使用CT檢查。
목적：탐토초성화CT대복부실질장기폐합성외상적림상진단개치。방법67례복부실질장기폐합성외상환자，사용초성화CT진행검사，공검사출외상조84개，대외상조적초성급CT구체표현진행회고성총결화분석。결과본조84개외상조，경초성검사출74개(88.10%)，경CT검사출77개(91.67%)，량충방법비교，차이무통계학의의(P>0.05)。재17개복합장기손상중，사용초성진단출16개(94.12%)，사용CT검사출17개(100.00%)。결론일반정황하불수요CT화초성진단연합응용，대단일장기손상적환자가이선택초성주검사，대복합장기손상환자응수선고필선택사용CT검사。
Objective To explore the clinical diagnostic value of ultrasound and CT for abdominal solid organ closed trauma. Methods A total of 67 patients with abdominal solid organ closed trauma were selected and detected by ultrasound and CT. There were 84 traumatic lesions found, and the results of ultrasound and CT were retrospectively analyzed and summarized. Results Among the 84 lesions, there were 74 cases detected by ultrasound (88.10%), and 77 cases detected by CT (91.67%). Among 17 cases of composite viscera damage, 16 cases were detected by ultrasound (94.12%), and 17 cases were detected by CT (100%). Conclusion The joint application of ultrasound and CT is unnecessary in general situation. Ultrasound can be used for detection of single viscera damage patients, and CT can be used for composite viscera damage.
