摘要
目的比较CT与超声检查对创伤性肝破裂的诊断价值,为临床诊断提供参考。方法回顾性分析2012年3月至2014年3月我院收治的115例疑似肝破裂患者的临床资料,手术前分别行CT和超声检查,并以手术探查结果作为"金标准",比较两种检查方式的诊断价值。结果手术探查共确诊106例肝破裂患者,其中,CT诊断93例(87.74%),超声诊断102例(96.22%)。CT诊断的灵敏度、阴性预测值以及准确率分别为81.13%、9.09%、76.52%,低于超声检查的93.40%、46.15%、91.30%,差异有统计学意义(P<0.05)。两组特异度、阳性预测值比较,差异无统计学意义(P>0.05)。手术探查发现多处肝破裂伤65例,其中,CT诊断56例(86.15%),超声诊断63例(96.92%),两种检查方式的诊断结果差异有统计学意义(χ2=4.000,P<0.05)。结论超声诊断创伤性肝破裂具有灵敏度高、准确率好的特点,可作为临床诊断创伤性肝破裂的首选方法。
Objective To compare the diagnostic value of CT versus ultrasonography in diagnosis of traumatic hepatic rupture, to provide reference for clinical diagnosis. Methods The clinical data of 115 patients suspected traumatic hepatic rupture in our hos- pital from March 2012 to March 2014 were retrospective analyzed,which were detected by the CT and uhrasonography respectively before surgery. Comparisons of diagnostic results of the two methods were conducted by the surgical findings as ＂gold standard＂. Re- sults Totally 106 cases with hepatic rupture were confirmed after surgical exploration,93 cases （87.74%）with CT and 102 cases （96.22%） with uhrasonography. The sensitivity, negative predictive value and accuracy of CT was 81.13 %, 9.09%, 76.52% re- spectively, which was less than that of ultrasonography,93.40% ,46.15 % , and 91.30% , and the difference was statistically signifi- cant （P 〈 0.05 ）. While, there was no statistically significant on difference of specificity and positive predictive value in two methods （P 〉 0.05 ）. The surgical exploration showed that there was 65 cases with multiple liver rupture, 56 cases （86.15%）with CT and 63 cases （96.92%） wtih ultrasonography, and the difference was statically significant （x2 = 4. 000, P 〈 0.05 ）. Conclusion Ultra- sonography in the diagnosis of traumatic hepatic rupture has characteristic of high sensitivity, good accuracy, so it can he the pre- ferred method to diagnosis traumatic hepatic rupture in clinical.
出处
《临床军医杂志》
CAS
2015年第7期749-751,共3页
Clinical Journal of Medical Officers
