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目的:探讨X线平片及CT诊断胸部外伤的各自意义。方法:挑选于2013年12月至2015年12月间到南京军区南京总医院诊治的130例胸部外伤患者,随机分为两组,其中对照组65例,给予常规的X线平片检查,观察组65例,采取CT的影像学方法。以最终手术探查和随访复诊情况综合得出的病因作为金标准,分别对两组患者的病因确诊率观察比较。结果:观察组气胸、胸腔积液、肺损伤的病因确诊率相比对照组均明显提高,差异具有统计学意义(P<0.05)。观察组肋骨骨折的病因确诊率相比对照组基本接近,差异无统计学意义(P>0.05)。结论:胸部外伤多为复合伤,容易危及内脏,X线平片仅适合骨性结构,CT检查更为精准全面,特别是在液体、气体等方面,因此CT检查诊断胸部外伤的价值较高。
Objective: To explore the significance of X-ray and CT in the diagnosis of chest trauma. Methods: A total of 130 cases of chest trauma diagnosed and treated in Nanjing General Hospital of Nanjing Military Region from December 2013 to December 2015 were selected and randomly divided into two groups, of which 65 cases in the control group were given routine X-ray examination. Group 65 cases, using CT imaging method. The final etiological exploration and follow-up referral of the etiopathogenisis as the gold standard, respectively, the two groups of patients etiological diagnosis rate comparison. Results: The diagnosis rate of pneumothorax, pleural effusion and lung injury in the observation group was significantly higher than that in the control group, with statistical significance (P <0.05). The diagnosis of rib fracture in the observation group was basically close to the control group, with no significant difference (P> 0.05). CONCLUSIONS: Most traumatic injuries of the thoracic trauma are compound injuries, which are easy to endanger the internal organs. X-ray films are only suitable for the bony structures. The CT examination is more accurate and comprehensive, especially in the aspects of liquid and gas. Therefore, the value of CT examination in diagnosing chest trauma is higher.