Radiology:那些CT检查中复合型创伤容易漏诊的原因

2019-03-14 shaosai MedSci原创

本研究旨在评价全身CT图像阅读中漏诊损伤的影像学和临床指标。

本研究旨在评价全身CT图像阅读中漏诊损伤的影像学和临床指标。

本研究共纳入了2354例行全身CT检查多发复合伤的患者。由急诊放射科医生进行对全身CT图像进行阅片,然后在12-48小时内由另一位放射科医生阅片。回顾性阅读首次和二次阅片报告结果。利用逐步选择法单变量和多变量回归分析识别评价漏诊病变的临床和影像学指标。

结果为,本研究共纳入了639例男性(27.1%)和1715例女性 (72.8%)。对每一次扫描,共有304处漏诊病变,且59 (2.5%)临床症状比较显着。对每一处病变,漏诊率为530/5979 (8.8%)。超过2个部位、年龄超过30岁和最初临床严重分级为1级是独立预测漏诊病变的预测指标。

本研究表明,超过2个部位的多发复合创伤、年龄超过30岁和最初临床严重分级为1级与全身CT漏诊病变具有相关性。

原始出处:

Banaste N, Caurier B, Bratan F,et al.Whole-Body CT in Patients with Multiple Traumas: Factors Leading to Missed Injury.Radiology.DOI:10.1148/radiol.2018180492

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    2019-03-16 kzlchina
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    2019-03-14 医者仁心5538

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