Surgeons' Experience in Reviewing Computer Tomography Influence the Diagnosis Accuracy of Blunt Abdominal Trauma

摘要

Computer Tomography (CT) plays an important role in the diagnosis and treatment strategy in blunt abdominal trauma (BAT). The aim of this study was to evaluate the surgeons experience in CT reviewing in the diagnosis accuracy in the early stage of BAT. Altogether 82 patients with BAT were retrospectively reviewed, and the final diagnosis was confirmed according to intra-operative exploration and post-operative pathological examination. Surgeons were classified into senior and junior groups. Double blind method was used to evaluate the accuracy of injury judgement from CT scan. Totally the accuracy in the senior group was significantly higher than the junior group (73.9 vs. 34.1 %, P ＜ 0.05). Compared with junior group, senior group showed significant higher diagnosis accuracy both in the hollow and solid organ injuries (90.1 vs. 78.9 %; 88.4 vs. 58.3 %, respectively, P ＜0.05). It is concluded that surgeon's experience in the reviewing of CT scan significantly influence the diagnosis accuracy of viscera injury in BAT. Senior surgeon's attendance can help the diagnosis of viscera injury in the early stage of BAT.