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.docVIP

精品论文 参考文献 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 莫利军 (广西来宾金秀县人民医院放射科 545799) 　　【摘要】目的：探讨CT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CT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；CT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，CT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CT检查。同时，CT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。 　　【关键词】CT检查 X线检查 胸部闭合性损伤 对比观察 　　【中图分类号】R812 【文献标识码】A 【文章编号】1672-5085（2014）09-0020-02 　　【Abstract】 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 inju