胸部DR在胸部创伤诊断中的应用

摘要

目的：评价 DR 在胸部创伤诊断中的应用价值。方法：2012年3月-2014年10月收治胸部创伤患者300例，全部患者均接受 X 线、DR 与 CT 检查，并与手术或病理结果进行对比。结果：CT 检出胸部创伤300例，检出率100.0%；X线检出137例，检出率45.7%；DR检出142例，检出率47.3%。DR的胸部创伤总检出率与X线相比差异无统计学意义(P＞0.05)，但均显著低于 CT 组(P＜0.01)；其中合并3处损伤的检出率明显低于 CT 检出率(P＜0.05)。结论：DR在胸部创伤的检出率与X线基本相当，快捷简便，但存在一定的漏检率。对于创伤较为严重的患者，不建议将DR作为首选的检查手段。%Objective:To explore the application value of chest DR in the diagnosis of chest trauma.Methods:300 patients with thoracic trauma were selected from March 2012 to October 2014.All patients were given X-ray,DR and CT examination. Examination results were compared with the operation or pathology results.Results:CT detected 300 cases of thoracic trauma,and the detection rate was 100%;X-ray detected 137 cases,and the detection rate was 45.7%;142 cases were detected with DR,and the detection rate was 47.3% .Compared the total positive rate of chest trauma in DR and X-ray,there was no significant difference(P>0.05),but it was significantly lower than that of CT group(P<0.01);the detection rate of 3 lesionsis was significantly lower than the detection rate of CT(P<0.05).Conclusion:The detection rate of DR in thoracic trauma was considerable with X-ray. It was simple,but there was some missing rate.For patients with more serious trauma,DR was not recommended as the preferred means of inspection.