[1]龚英姿,贺建锋,薛 冰.超声检查在闭合性腹外伤诊断中的价值[J].医学信息,2018,31(20):166-167.[doi:10.3969/j.issn.1006-1959.2018.20.052]
　GONG Ying-zi,HE Jian-feng,XUE Bing.The Value of Ultrasonography in the Diagnosis of Closed Abdominal Trauma[J].Medical Information,2018,31(20):166-167.[doi:10.3969/j.issn.1006-1959.2018.20.052]
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超声检查在闭合性腹外伤诊断中的价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年20期
页码:
166-167
栏目:
诊疗技术
出版日期:
2018-10-15

文章信息/Info

Title:
The Value of Ultrasonography in the Diagnosis of Closed Abdominal Trauma
文章编号:
1006-1959（2018）20-0166-02
作者:
龚英姿; 贺建锋; 薛 冰
宁夏回族自治区宁东医院超声科，宁夏 银川 751410
Author(s):
GONG Ying-zi; HE Jian-feng; XUE Bing
Department of Ultrasound,Ningdong Hospital,Ningxia Hui Autonomous Region,Yinchuan 751410,Ningxia,China
关键词:
闭合性腹外伤; 超声诊断; 腹腔游离液体
Keywords:
Closed abdominal trauma; Ultrasound diagnosis; Free fluid in the abdominal cavity
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2018.20.052
文献标志码:
A
摘要:
目的 探讨超声检查在诊断闭合性腹外伤中的应用价值。方法 回顾性分析2013年1月~2018年1月在我院经超声检查后手术证实或CT证实的106例闭合性腹外伤患者的声像图表现。结果 106例闭合性腹外伤中95例超声探查到腹腔游离液体，均经手术证实为腹腔脏器挫裂，其中脾挫裂65例，包括延迟性脾挫裂12例，占脾挫裂18.46%。7例误诊，其中肝挫裂伤1例，复合挫裂伤3例，小肠挫裂伤3例。超声诊断与手术符合率为92.63%。11例超声未探及游离液体，均经手术或CT证实为腹腔脏器挫伤或血肿。结论 超声检查对腹腔游离液体检出在闭合性腹外伤的诊断中发挥着重要的作用。
Abstract:
Objective To investigate the value of ultrasonography in the diagnosis of closed abdominal trauma.Methods A retrospective analysis of the sonographic findings of 106 patients with closed abdominal trauma who were confirmed by surgery or confirmed by CT in our hospital from January 2013 to January 2018.Results Of the 106 patients with closed abdominal trauma,94 patients underwent ultrasonography to detect free fluid in the abdominal cavity.All of them were confirmed by surgery as abdominal contusion.Among them,65 cases were spleen contusion,including 12 cases of delayed spleen contusion,accounting for 18.46% of spleen contusion.7 cases were misdiagnosed,including 1 case of hepatic contusion and laceration,3 cases of compound contusion and laceration,and 3 cases of small intestine contusion.The coincidence rate between ultrasound diagnosis and surgery was 92.55%.11 cases of ultrasound were not explored and free fluid,which was confirmed by surgery or CT as abdominal contusion or hematoma. Conclusion Ultrasonography plays an important role in the detection of free abdominal fluid in the diagnosis of closed abdominal trauma.

参考文献/References:

[1]王聪,周敏.超声对腹部闭合性损伤患者的诊断价值[J].现代医用影像学,2017,12(26):1799-1800. [2]周永昌,郭万学.超声医学[M].第1版.北京:科学技术文献出版社,1991:1007. [3]刘大为,王小亭.重症超声[M].第1版. 北京:人民卫生出版社,2017:343. [4]杨惠.超声诊断腹部闭合性损伤的价值[J].中国卫生产业,2014,5(25):127-128. [5]杨东海.诊断性腹腔穿刺术99例临床分析[J].河南外科学杂志,2013,1(19):77.

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更新日期/Last Update: 2018-11-09