目的 探讨分析急诊腹部创伤患 者B超与CT诊断的临床价值。方法 选取 我院2008年1月-2015年8月门诊收治的46 例腹部创伤患者，入院后均分别行常规B 超和CT手段进行初步诊断，以手术及病 理观察结果为诊断金标准，参照对比分 析两种影像手段的诊断效果。结果 手 术病理结果显示腹内脏器损伤患者比重 占93.48%；B超、CT腹内脏器损伤正确诊 断率分别为脾损伤(86.36%vs95.45%)、 肝损伤(90.00%vs80.00%)、肾脏损 伤(100.00%vs80.00%)、胰腺损伤 (60.00%vs80.00%)、小肠和十二指肠 损伤(66.67%vs100.00%)、腹膜损伤 (60.00%vs80.00%)，B超、CT扫描上述 脏器损伤诊断准确率相较无明显差异 (P>0.05)。结论 B超、CT均是临床诊断腹 部创伤患者腹内脏器损伤的有效影像手 段，且具有无创简单快捷等优点，可为指 导临床治疗方案提供重要的参考依据。

Objective To investigate and analyze the clinical value of B-mode ultrasonography and CT in the diagnosis of patients with emergency abdominal trauma. Methods 46 ptients with abdominal trauma who were treated in the department of emergency trauma surgery of our hospital between January and August 2015 were enrolled in the study. After admission, all patients underwent routine preliminary diagnosis with B-mode ultrasonography and CT. The surgical and pathological results were taken as the golden standard to analyzed the diagnostic effects of the two imaging means. Results The surgical and pathological results showed that patients with abdominal organ injury accounted for 93.48%. There was no significant difference in accurate rates between B-mode ultrasonography and CT in the diagnosis of splenic injuries (86.36% vs 95.45%), liver damage (90.00% vs 80.00%), renal injury (100.00% vs 80.00%), pancreatic injury (60.00% vs 80.00%), small intestine and duodenal injury (66.67% vs 100.00%) and peritoneal injury (60.00% vs 80.00%) (P>0.05). Conclusion B-mode ultrasonography and CT are effective imaging methods for the clinical diagnosis of abdominal organ injury in patients with abdominal trauma. They are non-invasive, simple and effective, which can provide important reference for guiding the clinical treatment.