广州医药 ›› 2015, Vol. 46 ›› Issue (3): 53-55.DOI: 10.3969/j.issn.1000-8535.2015.01.001

• 论著 • 上一篇    下一篇

急诊螺旋CT对外伤性肠及肠系膜损伤诊断及定位的价值

吴梦楠, 黄展坤, 李锦华   

  1. 广东省河源市人民医院(河源 517000)
  • 收稿日期:2015-02-13 出版日期:2015-05-20 发布日期:2021-11-30
  • 通讯作者: 吴梦楠,E-mail:4863286@qq.com

The value of spiral CT in enteral and mesenteric injury diagnosing and localizing caused by abdominal traumatic emergency

Wu Mengnan, Huang Zhankun, Li jinhua   

  1. Department of Radiology,Heyuan People's Hospital,Heyuan 517000,China
  • Received:2015-02-13 Online:2015-05-20 Published:2021-11-30

摘要: 目的 通过比较术前螺旋CT诊断与X线、超声诊断,并分析螺旋CT的影像学表现,探讨急诊螺旋CT在外伤性肠及肠系膜损伤诊断及定位的价值。方法 回顾性分析经手术证实的65例行急诊平扫的肠或肠系膜损伤的术前CT、X线、B超等影像诊断结果,比较不同影像报告与术后诊断的符合情况,分析外伤性肠及肠系膜损伤的CT诊断的特点。结果 对肠及肠系膜损伤的CT诊断准确率高于X线、B超诊断准确率,差异有统计学意义(P=0.012,P<0.001),螺旋CT对外伤性肠及肠系膜损伤有对应的征象,利于做出定位诊断。结论 螺旋CT对腹部外伤性肠及肠系膜损伤具有良好的诊断及定位的价值。

关键词: 急诊腹部外伤, 肠及肠系膜损伤, 体层摄影术, 螺旋计算机

Abstract: Objective To investigate the value of spiral CT in enteral and mesenteric injury diagnosing and localizing caused by abdominal traumatic emergency,by the means of analyzing and comparing the preoperative CT report to X-ray and b-ultrasound reports. Methods 65 cases of confirmed enteral or mesenteric injury were recruited to explore their preoperative CT、X-ray and b-ultrasound features.Statistical analysis was conducted to calculate and compare the rate of sensitivity of 3 different test in diagnosing enteral and mesenteric injury. Results The accuracy of CT in diagnosing enteral and mesenteric injury were better than X-ray and b-ultrasound,the differences were statistical significance(P=0.012,P<0.001),and the CT features can help to localize the injury position. Conclusion Spiral CT scans have value in diagnosing enteral and mesenteric injury.

Key words: Abdominal traumatic emergency, Enteral and mesenteric injury, Body section radiography, Spiral computed