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目的:对比分析多层螺旋CT与B超在急诊腹部创伤诊断中的应用效果。方法:选取我院急诊科2015年6月—2016年5月期间收治的腹部创伤患者67例作为研究对象,所有患者均进行CT和B超两种不同方式检查,并通过手术或进一步治疗确诊,根据病理结果对患者疾病进行确诊,并以此作为诊断标准。观察并比较CT检查与B超检查阳性率及影像学表现。结果:多层螺旋CT与B超两种检查方法肝损伤、脾损伤、肾损伤、胰腺损伤、肠系膜损伤、空腔脏器损伤等各项阳性率相比差异均无统计学意义(P>0.05)。结论:多层螺旋CT与B超均能对急诊腹部创伤做出有效诊断,但B超操作简单,检查速度快,可作为临床急诊首选。
Objective: To compare and analyze the application effect of multi-slice spiral CT and B-ultrasound in the diagnosis of abdominal trauma. Methods: A total of 67 patients with abdominal trauma admitted to our hospital emergency department from June 2015 to May 2016 were enrolled in this study. All patients underwent CT and B ultrasound examination in two different ways and were confirmed by surgery or further treatment. According to the pathological results of the diagnosis of patients with disease, and as a diagnostic criteria. Observe and compare the positive rate of CT examination and B-ultrasound and imaging findings. Results: There was no significant difference in the positive rates of liver injury, spleen injury, renal injury, pancreatic injury, mesenteric injury and hollow organ injury between MSCT and B ultrasound (P> 0.05 ). Conclusion: MSCT and B-ultrasound can both make effective diagnosis of emergency abdominal trauma. However, B-mode ultrasonography is simple, and the examination speed is fast, which can be the first choice for clinical emergency.