腹部创伤的CT诊断及临床价值评估分析［摘要］目的探究CT诊断法在腹部创伤中的实际应用，并对其临床价值做出准确的评估，以供临床诊断借鉴。方法随机择取该院于2011年1月-2015年6月接收入院的腹部创伤患者，共计106例作为研究的主要对象。106例患者于入院后，均实施了相应的CT检查，且所有患者也都接受了相应的手术及病理学诊断。将106例患者CT检查的结果作为CT组，手术诊断的结果作为手术组，病理学诊断的结果作为病理学组。对3组的诊断结果进行详细的对比分析，并评估出CT诊断法在腹部创伤中的应用价值。结果手术组与病理学组均显示，胰腺损伤，共15例；肾脏损伤，共13例；脾脏损伤，共45例；肝脏损伤，共14例；胆道损伤，共11例；血管损伤患者，共2例。而CT组则显示，胰腺损伤,共15例（14.15%）;肾脏损伤,共43例（12.26%）;脾脏损伤，共51例48.11%）肝脏损伤，共16M15.09%）;胆道损伤，共"例（10.38%L以手术及病理学组为标准，CT组确诊患者共104例；误诊患者共2例（1.89%），该2例患者的患病类型本为血管损伤，但被误诊为肝脏损伤。该CT检查的准确率高达98.11%O结论将CT诊断法应用于腹部创伤等器官性损伤类疾病的临床诊断中，不仅能显著提升诊断的准确性，还能为腹部创伤患者的临床治疗提供主要依据，具有相当高的临床应用价值［关键词］肝脏损伤；CT诊断；脾脏；腹部创伤；临床价［中图分类号］R4［文献标识码］A［文章编号］1674-0742(2015)12(a)-0177-03[Abstract]ObjectiveToexplorethepracticalapplicationofCTdiagnosticmethodinabdominaltraumaandmakeanaccurateassessmentofitsclinicalvalueinordertoproviderefereneeformajormedicalinstitutionsinChina.Methods106casesofabdominaltraumapatientsadmittedtoourhospitalfromJanuary2011toJune2015wererandomlyselectedasthemainreseachobjectofthisstudy.Afteradmission,106casesweregiventhecorrespondingCTinspection,andallpatientsunderwentthecorrespondingsurgeryandpathologicaldiagnosis.Ofthe106patients,theresultsofCTexaminationwereregardedastheCTgroup,theresultsofoperativediagnosiswereregardedastheoperationgroup,andtheresultsofpathologicaldiagnosiswereregardedasthepathologicalgroup,Thediagnosticresultsofthethreegroupswerecomparedandanalyzedindetail,andtheapplicationvalueofCTdiagnosisinabdominaltraumawasevaluated.ResultsBoththeoperationgroupandthepathologicalgroupshowedthat15caseswerepancreaticinjury;13caseswerekidneyinjury;45caseswerespleeninjury;14caseswereliverinjury;11caseswerebileductinjuryand2caseswerevascularinjury.WhiletheCTgroupshowedthat15caseswerepancreaticinjury(14.15%);13caseswerekidneyinjury(12.26%);51caseswerespleeninjury(48.11%);16caseswereliverinjury(15.09%)and11caseswerebileductinjury(10.38%).Comparedwiththeoperationgroupandthepathologicalgroup,104caseswerediagnosedintheCTgroup,2casesweremisdiagnosed(1.89%)thediseasetypeofthe2casesofthemisdiagnosedpatientswereoriginallyvascularinjurybuttheyweremisdiagnosedasliverinjury.TheaccuracyrateoftheCTexaminationwasashighas98.11%.ConclusionTheapplicationofCTindiagnosisofabdominaltraumaandotherorgandamagediseasescannotonlysignificantlyimprovetheaccuracyofdiagnosis,butalsoprovidethemainbasisforclinicaltreatmentofabdominaltraumapatients,whichwaswithahighclinicalapplicationvalue・[Keywords]Liverinjury;CTdiagnosis;Spleen;Abdominaltrauma;Clinicalvalue腹部创伤在临床上具有较高的发病率，且其死亡率也相当高。有资料，显示：因腹部创伤导致的死亡可占整个创伤类疾病的10%o其次，腹部创伤的致病因也是相当多的，比如：车祸；坠落；利器伤；人力伤。由于腹部受创后，人体的相关机体组织与功能会发生一系列病理学变化，导致病情愈发严重。若此时，患者不能得到及时的诊治，将会危及其生命安全。故，早期的诊断对于腹部创伤患者来说，是...