Jivani Hit B, Joshi Priscilla, Dsouza John
Radiology, Bharati Vidyapeeth DTU (Deemed to be University) Medical College and Hospital, Pune, IND.
Cureus. 2023 Jul 12;15(7):e41750. doi: 10.7759/cureus.41750. eCollection 2023 Jul.
Traumatic injuries to the chest are a frequent cause of mortality among young individuals. Imaging plays a crucial role in the management of thoracic trauma, providing essential details for accurate diagnosis and treatment.
To assess the respective contributions of radiography and CT in cases of chest trauma.
We assessed 64 subjects, gathering findings from both CT scans and radiographic imaging. The results were organized into a table, considering various variables such as subcutaneous emphysema, rib fractures, clavicular fractures, sternal fractures, scapular fractures, vertebral fractures, pneumothorax, pneumomediastinum, hemothorax, lung contusions, diaphragmatic injuries, and lung herniations. We analyzed the incidence and mode of injury for each variable. Additionally, we compared the sensitivity and specificity of radiographs to CT scans.
The leading cause of chest trauma was road traffic accidents (RTAs) (67.2%). The most common age groups affected were 18-30 years (31.3%) and 30-40 years (25%). Rib fractures (73.4%), contusions (70.3%), and hemothorax (62.5%) were the most frequently observed findings. Comparing the detection rates of contusions, rib fractures, hemothorax/pleural effusions, pneumothorax/pneumomediastinum, radiographs exhibited lower sensitivity than CT scans (p-value < 0.05 for all comparisons).
In the assessment of trauma patients, chest radiographs continue to serve as the primary screening method, while CT scans are the preferred imaging technique. CT scans are preferable to radiographs in subjects who are clinically stable, providing valuable information. However, for subjects who are unstable, CT scans become even more indispensable, as they offer critical insights into their condition.
胸部创伤是年轻人死亡的常见原因。影像学在胸部创伤的管理中起着至关重要的作用，为准确诊断和治疗提供重要细节。
评估胸部创伤病例中X线摄影和CT的各自贡献。
我们评估了64名受试者，收集了CT扫描和X线摄影成像的结果。将结果整理成表格，考虑皮下气肿、肋骨骨折、锁骨骨折、胸骨骨折、肩胛骨骨折、椎体骨折、气胸、纵隔气肿、血胸、肺挫伤、膈肌损伤和肺疝等各种变量。我们分析了每个变量的损伤发生率和方式。此外，我们比较了X线片与CT扫描的敏感性和特异性。
胸部创伤的主要原因是道路交通事故（RTA）（67.2%）。受影响最常见的年龄组是18 - 30岁（31.3%）和30 - 40岁（25%）。肋骨骨折（73.4%）、挫伤（70.3%）和血胸（62.5%）是最常观察到的结果。比较挫伤、肋骨骨折、血胸/胸腔积液、气胸/纵隔气肿的检出率，X线片的敏感性低于CT扫描（所有比较的p值<0.05）。
在创伤患者的评估中，胸部X线片仍然是主要的筛查方法，而CT扫描是首选的成像技术。对于临床稳定的受试者，CT扫描优于X线片，可提供有价值的信息。然而，对于不稳定的受试者，CT扫描变得更加不可或缺，因为它们能提供有关其病情的关键见解。
