全面腹部超声检查在急腹症诊断中的价值

Value of Systemic Abdominal Ultrasonography in the Diagnosis of Acute Abdominal Diseases

目的探讨全面腹部超声检查在急腹症诊断中的价值。资料与方法连续选取234例急腹症患者,按照随机数字法分为研究组和对照组,研究组患者接受全面腹部超声检查,对照组接受传统的选择性腹部超声检查,以病理检查结果或临床随访结果为标准,比较两组的诊断符合率、超声检查时间及临床诊断时间。结果研究组的诊断符合率为95.04%(115/121)高于对照组的86.73%(98/113),差异有统计学意义(χ2=4.946,P<0.05);研究组的超声检查时间[(16.41±1.31)min]显著长于对照组[(10.11±4.35)min],差异有统计学意义(t=14.771,P<0.05);研究组的临床诊断时间[(2.00±1.30)h]显著短于对照组[(2.65±1.72)h],差异有统计学意义(t=3.301,P<0.05)。结论全面腹部超声检查尽管费时较长,但可以提高急腹症的诊断准确率,缩短临床诊断时间,有较高的临床应用价值。

Purpose To investigate the value of systemic abdominal ultrasonography in the diagnosis of acute abdominal diseases. Materials and Methods A total of 234 patients with acute abdominal diseases were enrolled consecutively in the study and randomly divided into the study group who received systemic abdominal ultrasonography and the control group who received traditional selective abdominal ultrasonography. The diagnose accordance rate and diagnose duration of two groups were compared with the results of pathology or clinical follow-up which served as the golden standard. Results The diagnose accordance rate in the study group （95.04%, 115/121） was significantly higher than that of the control group （86.73%, 98/113） （X^2=4.946, P〈0.05）; the ultrasound examination duration in the study group was statistically longer than that of the control group [（16.41 ±1.31） rain vs （10.11±4.35） min, t=14.771, P〈0.05], and the diagnose duration in the study group was significantly shorter than that of the control group [（2.00± 1.30） h vs （2.65±1.72） h, t=3.301, P〈0.05]. Conclusion Systemic abdominal ultrasonography can improve the diagnosis coincidence rate and shorten the duration in the diagnosis of acute abdominal diseases.