摘要
目的探讨X线平片及CT检查在胸部外伤诊断中的应用及临床价值。方法搜集资料完整的87例胸部外伤患者X线平片、CT检查资料,观察不同体位及CT后处理技术对病变的显示情况,对比分析X线平片与CT诊断胸部外伤的临床价值。结果 87例中,X线平片发现肋骨骨折57例,锁骨骨折14例,明显高于CT检出率;而CT检出气胸11例,胸腔积液(血)51例,肺不张6例,肩胛骨骨折12例,检出率高于X线平片,特别是对于伴发的内部脏器损伤(主要为心包膜损伤)2例,均为CT发现。结论 X线平片和CT扫描在胸部外伤的诊断中各有优势,相对来说CT诊断的信息量更多,适宜的检查体位更有利于病变的显示,临床应根据患者具体情况灵活选择、应用。
Objective To investigate the clinical application and value in diagnosis of chest trauma in the X-ray and CT.Methods Collected 87 cases of thoracic trauma X-ray plain film,CT data integrity check information,technology in showing the lesions observed in different position and CT after treatment,the clinical value of comparative analysis of X-ray and CT diagnosis of chest trauma.Results In 87 cases,X-ray findings of 57 cases with rib fracture,14 cases of fracture of clavicle,significantly higher than the detection rate of CT;while CT detected 11 cases of pneumothorax,pleural effusion(blood) in 51 cases,6 cases of atelectasis,12 cases of scapular fractures,detection rate is higher than that of X-ray plain film,especially for the internal organs damage injury accompanied with(mainly the pericardial damage) in 2 cases,were found for CT.Conclusion X-ray and CT scanning have different advantages in diagnosis of chest trauma,relatively CT diagnostic information more,check the position is more suitable for lesions,clinical application,the application according to the condition of the patients.
出处
《罕少疾病杂志》
2014年第1期23-25,共3页
Journal of Rare and Uncommon Diseases
关键词
胸部外伤
X线平片
CT
体位
重建
价值
Chest Trauma
X-ray Plain Film
CT
Position
Reconstruction
Value
