నైరూప్య

Clinical value of CT diagnosis in abdominal trauma

Xiang Li, Shu-Tong Zhang, Xiang Wang, Jing-Ting Chen

Objective: This paper discusses the clinical value of CT diagnosis in abdominal trauma.

Method: Eighty patients with abdominal trauma admitted in our hospital from April 2015 to July 2017 were selected and subjected to B-ultrasonography and CT scan. Surgical and pathological diagnoses were used as the gold standard. The two diagnostic methods were compared in terms of sensitivity, specificity, accuracy, and diagnosis accordance rate of organ injury in the abdomen.

Results: Based on surgical and pathological diagnoses, 75 of 80 patients (93.8%) were confirmed to have organ injury in the abdomen and included 25 patients with spleen damage, 13 patients with liver damage, 10 patients with kidney damage, 10 patients with pancreas damage, 9 patients with small intestine/duodenum damage, and 8 patients with peritoneum damage. The sensitivity, specificity, and accuracy of B-ultrasonography are 82.6%, 80.0%, and 82.5%, which are not significantly different from those of CT scan (90.7%, 80.0%, and 90.0%) (P>0.05). The diagnosis accordance rates of Bultrasonography in the spleen, liver, kidney, pancreas, small intestine/duodenum, and peritoneum damages are 92.0%, 92.3%, 100.0%, 80.0%, 77.8%, and 75.0%, respectively, and those of CT scan are 100.0%, 100.0%, 90.0%, 90.0%, 100.0%, and 87.5%, respectively; the difference between the two methods is not significant (P>0.05).

Conclusions: B-ultrasonography and CT scan present similar clinical results in abdominal trauma diagnosis. These procedures are noninvasive, simple to operate, and worthy of further clinical promotion and application.