B超在急性腹部闭合性损伤诊断中的应用

B-ultrasound application of acute closed abdominal injury

目的探讨急性腹部闭合性损伤应用B超的诊断价值。方法 2009年1月至2009年12月腹部外伤患者44例,采用ALOKASSD-620及日立EUB-2000型线阵凸形探头,探头频率为3.5MHz,通过对腹部脏器多方位扫查,超声图像中有可疑而不能立即确诊的病例,根据临床症状体征变化,随时跟踪监控。结果 44例患者手术探查腹腔均有不同程度的液体,4例见腹膜下游离气体,B超诊断42例有腹腔积液,检出率95.45%,B超诊断腹腔游离积气3例,检出率占75.0%。肝、脾、肾实质脏器裂伤37例、裂口59处,B超确诊34例、42处(90.8%、71.2%)。空腔器官损伤5例,B超诊断3例,检出率60%。结论 B超作为一种经济方便的检查手段,且能在床边随时检查,动态观察病情变化,应作为急性腹部闭合性损伤首选检查方法 。

Objective To investigate acute closed abdominal injury of B-ultrasound application value.Methods January 2009-December 2009,abdominal trauma patients 44 cases,Adopt ALOKA SSD-620 and Hitachi EUB-2000 line Chen convex point head,Probe frequency for 3.5 MHz,For abdominal viscera many-side by scanning,ultrasound images of a suspicious not immediately diagnosed cases,according to the clinical symptoms and signs,tracking control through changes.Results 44 patients operation are different degree of abdominal peritoneal fluid,4 cases were seen under free gas,B-ultrasound diagnosis 42 cases have abdominal effusion,B-ultrasound diagnosis 95.45% detection and diagnosis of abdominal free product gas 75.0%.Liver,lienal,renal parenchymal visceral laceration 37 cases,split 59,B ultrasonic diagnosis 90.8%（71.2%,42 /59）.The cavity in 5 cases,organ damage diagnosis 60%.Conclusion B-ultrasound as a convenient means of inspection,economy and in the bed,can inspect illness change,dynamic observation method should be the first check.