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用CT检查和X线检查诊断胸部闭合性损伤的效果对比研究

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目的:探讨C T检查和X线检查诊断胸部闭合性损伤的特点,为临床诊断方法的选择提供科学依据。方法:对我院2008年2月~2013年2月间收治胸部闭合性损伤患者57例病情回顾性分析,比较患者CT检查和X线检查诊断结果差异。结果:X线检查发现肋骨骨折21例,胸骨骨折6例,锁骨骨折3例,胸椎骨折2例,而C T检查发现肋骨骨折14例,胸骨骨折2例,锁骨骨折1例,发现胸椎骨折5例,单纯椎弓骨折2例,一侧胸锁关节脱位2例;C T和X线共同检出血胸14例,气胸12例、血气胸8例,而X线漏诊、CT确诊的血胸7例,气胸4例、血气胸3例;CT和X线共同检出创伤性湿肺3例、肺不张3例,肺挫裂伤1例,C T检出X线漏检的创伤性湿肺5例、肺不张2例,肺挫裂伤3例、纵膈血肿4例,纵膈气肿1例。结论:胸部X检查对于肋骨、胸骨、锁骨骨折敏感,但对胸椎、纵膈损伤的判断不如C T检查。同时,C T检查纵膈、肺实质损伤明显优于X线,两者互有利弊,临床上将两者科学结合是确保诊断准确的有效办法。
Objective : To investigate the CT examination and chest X-ray diagnosis of blunt trauma characteristics, choose to provide clinical diagnostic methods give a scientific basis. Methods: Hospital between February 2008 - February 2013 blunt trauma patients admitted to the chest retrospective analysis of 57 cases of the disease , compared with patients CT scan and X-ray diagnosis differences. Result: X -ray examination revealed 21 cases of rib fractures , sternal fracture in 6 cases , 3 cases of clavicle fractures , but CT detected 14 cases of rib fractures , sternal fracture two cases , one case of clavicular fractures , thoracic found 7 cases of vertebral fractures ; CT and chest X-ray jointly seized 14 cases of hemorrhage , pneumothorax in 12 cases, 8 cases of pneumothorax , but missed the X-ray , CT confirmed seven cases of hemothorax , pneumothorax four cases , hemopneumothorax three cases ; CT and X-ray detection of common traumatic wet lung in 3 cases, 3 cases of atelectasis , pulmonary contusion one case , CT detected five cases of traumatic wet lung X-ray undetected , two cases of atelectasis , pulmonary contusion three cases . Conclusions: Chest X examination for the ribs, sternum , clavicle fracture sensitive, but not as good as on thoracic CT scan to determine . Meanwhile , CT examination of lung parenchymal injury significantly better than the X-ray , the two sides have pros and cons , clinical science wil be a combination of both is to ensure accurate diagnosis and effective way .

CT examinationX -ray examinationchest blunt traumacomparative study

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广西来宾金秀县人民医院放射科 545799

CT检查 X线检查 胸部闭合性损伤 对比观察

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(9)
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