B超在腹部闭合性损伤诊断中的应用效果观察

Clinical application of B ultrasound in the diagnosis of blunt abdominal trauma

目的观察B超在腹部闭合性损伤诊断中的应用效果。方法采用回顾性分析的方式将本院2014年1月~2017年1月收治的疑似腹部闭合性损伤患者100例的临床资料进行分析,有80例患者经过临床手术病理显示确诊为闭合性损伤,患者先后行B超诊断与CT诊断,以比较两种诊断方式用于腹部闭合性损伤诊断中的准确性、特异度与敏感度。结果实质性脏器损伤诊断中,B超诊断的特异度、敏感度与准确度与CT诊断相比显著较高,差异有统计学意义(P<0.05),空腔脏器诊断中,B超诊断的准确度与CT诊断相比显著较低,差异有统计学意义(P<0.05)。结论针对腹部闭合性损伤应用B超诊断不仅简单快捷,安全无创,而且在诊断实质性脏器中具有较高的准确度,但在空腔脏器诊断中准确度不如CT诊断,因此建议在针对腹部闭合性损伤的诊断中,应将B超诊断与CT诊断两者联合应用,在临床上推广普及很有价值。

Objective To observe the clinical application of B ultrasound in the diagnosis of blunt abdominal trauma.Methods The clinical data about100patients of being suspected with blunt abdominal trauma from January2014to January2017in our hospital was reviewed.Through the clinical pathological examinations,80patients were confirmed with blunt abdominal trauma.The diagnosis accuracy,specificity and sensitivity of blunt abdominal trauma based on the B ultrasound and CT scanning was compared.Results The diagnosis accuracy,specificity and sensitivity of parenchyma organ injury based on the B ultrasound was significantly higher than that of CT scanning(P<0.05);the diagnosis accuracy of hollow organ based on the B ultrasound was significantly lower than that of CT scanning(P<0.05).Conclusion For patients with blunt abdominal trauma,the minimally invasive method of B ultrasound is easy,quick,safe,specially in the diagnosis of parenchyma organ injury.However,the diagnosis accuracy of hollow organ based on the B ultrasound is lower than that of CT scanning.Therefore,it is recommended to take the combined examination method of B ultrasound and CT scanning.It shall be widely applied in clinical practice.