Abstract:
This study has been done to insure that the C.T scan investigations
gives the best diagnostic result for the traumatic patients.
The study include 60 patients with different traumas in different
parts of the body divided into the following:
25 cases of skill trauma.
14 patients of vertebral column trauma.
6 chest trauma.
3 abdominal trauma.
4 pelvic trauma.
5 cases different body parts trauma.
3 cases foreign bodies.
7
And the result came as:
There is a difference in diagnosis between the conventional x-ray
and the C.T scanning in skull trauma because the conventional
x-ray film spoilt in brain insure diagnosis and it is surrounding
layers. And in vertebral column, the C.T scan showed more
sensitivity than the conventional x-ray so it could diagnose
fourteen cases of fractures since the conventional diagnosed only
eleven. And the C.T also showed the pathological changes and the
losed fragments.
In chest trauma the C.T scan has a great ability to differentiate
between the different tissues, so it is diagnostic results was better
in lungs trauma and mediastinum, since the conventional x-ray
diagnosed ribs fractures and pulural effusion.
In abdominal trauma there is a great difference between the
conventional x-ray and the CT scanning, specially in internal
bleeding cases and the injuries of some internal organs e.g. the
liver and spleen.
In pelvis traumas the C.T scan gave the best result than the
conventional x-ray as in fractures directions and the fragments.
In other parts of the body the fractures has been diagnosed by both
C.T scanning and conventional x-ray, but the C.T scan is better in
determining the fractures directions.
In foreign bodies the C.T scan detected sufficiently the bodies
that has a low atomic number [radiolucent] which absorb small
amount of the incidence ray, which can not appear with the
8
conventional x-ray.
