腹部创伤的CT诊断及其管理分析

摘要

目的：分析腹部创伤患者的CT诊断及其管理。方法从2014年3月15日—2015年5月21日，从该院腹部创伤的患者中随机抽取140例患者作为研究对象，将140例患者采用随机抽样的方式分成观察组和对照组两个小组，每组70例患者，分别采取腹部创伤CT诊断(观察组)和B超检查(对照组)的方式，将两组的治疗效果按照科学的方式将检查的结果和手术确认结果进行对比分析，从而明确腹部创伤患者的CT诊断效果，并结合患者创伤情况，采取相应的临床管理措施。结果观察组70例，经CT诊断共有12例脾损伤，占17.14%；胰腺损伤8例，占11.43%；膀胱损伤18例，占25.71；肠胃损伤21例，占30.0%；肝脏损伤10例，占14.29%.经手术证实，除1例肠微损伤未被CT所诊断以外，其余均与CT诊断相符，诊断符合率98.57%。对照组70例，经B超诊断共有9例脾损伤，占12.86%；胰腺损伤6例，占8.57%；膀胱损伤17例，占24.29%；肠胃损伤19例，占27.14%；肝脏损伤8例，占11.43%，经手术证实，有11例患者未被B超所诊断，分别是3例脾损伤﹑2例胰腺损伤﹑3例膀胱损伤﹑3例肝脏损伤，诊断符合率84.29%。两组诊断符合率相比差异有统计学意义(P<0.05)。结论 CT对腹部创伤患者的诊断效果良好，在临床医学过程中具有比较科学的参考价值，对腹部创伤患者具有比较明显的治疗意义。%Objective To analyze CT diagnosis of abdominal trauma patients and its management. Methods From March 15, 2014 on May 21, 2015, from the department of abdominal trauma patients randomly assigned 140 patients as the research object, will by means of random sampling, 140 patients were divided into observation group and control group two groups, each group of 70 patients, respectively take abdominal trauma CT (observation group) and B ultrasonic examination (control group), the treatment effect of the two groups in accordance with the scientific method to check the result of comparing with the results and operation qualification analysis, so as to clear effect of CT diagnosis of abdominal trauma patients, and com-bines the condition of patients with trauma, adopt corresponding measures for clinical management. Results The observation group 70 cases, CT diagnosis, a total of 12 cases of spleen injury, accounting for 17.14%; 8 cases of pancreas injury, ac-counting for 11.43%; 18 cases of bladder and accounts for 25.71; 21 cases of gastrointestinal injury, accounting for 30.0%;10 cases of liver injury, accounting for 14.29% confirmed by surgery, except for 1 case not by CT in the diagnosis of in-testinal micro damage, the rest are all consistent with CT diagnosis, diagnostic coincidence rate was 98.57%. Control group of 70 cases by ultrasound in the diagnosis of a total of 9 cases of spleen injury, accounting for 12.86%; Pancreatic injury and 6 cases (8.57%);Bladder injury of 17 cases (24.29%), Gastrointestinal injury 19 cases (27.14%), 8 cases of liver injury, accounting for 11.43%, confirmed by surgery, not by ultrasound in the diagnosis of 11 patients, were 3 cases of spleen in-jury, 2 cases of pancreas injury, 3 cases of bladder injury, 3 cases of liver damage, diagnostic coincidence rate was 84.29%. Two groups of diagnostic coincidence rate exist significant differences (P< 0.05). Conclusion CT in the diagnosis of abdom-inal trauma patients with good effect, in the process of clinical medicine has more scientific reference value, treatment of abdominal trauma patients have obvious significance, is worth popularizing widely in clinical aspect, in addition to promote patients recover effectively.