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超声对腹部器官闭合性损伤的临床诊断价值

Values of ultrasonic diagnosis of closed injury in abdominal organs

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【作者】 张梅

【Author】 ZHANG Mei;The Affiliated Hospital of Beihua University;

【机构】 吉林北华大学附属医院

【摘要】 目的:观察总结外伤所致腹腔器官闭合性损伤的声像图特点,为临床提供有价值的诊断依据。方法:对100例超声诊断为外伤性内脏破裂患者声像图进行观察、记录,并根据临床诊治结果进行分析。结果:经超声诊断腹腔积液的患者100例,经手术证实96例,准确率为96%;患者的实质性器官(包括肝、脾、肾、胰)破裂95例,后经手术证实的为88例,准确率为92.4%;治疗痊愈5例;2例误诊;空腔器官破裂6例,手术证实4例,误诊2例。结论:超声诊断对空腔性器官或实质性器官破裂均具有重要意义。

【Abstract】 Objective: To study ultrasonic characteristic of closed injury in abdominal organs and try to provide valuable information for clinical diagnosis. Methods: The ultrasonic characteristics of 100 cases with intra- abdominal injury were gained,recorded and analyzed. Results: Intra- abdominal fluid was diagnosed in 100 cases by ultrasonography. 96 cases of them were confirmed by surgery,and the detective accuracy was 96%. 95 cases were diagnosed as substantial organ ruptures,including liver,spleen,kidney and pancreas,wherein 88 cases were confirmed by surgery,and the detective accuracy was 92. 4%. Five cases were cured,2 cases were misdiagnosed. Hollow organ trauma were found in the other 6 cases,4 cases of them were confirmed by surgery and the other two were misdiagnosed. Conclusions: Ultrasound is an important way for the diagnosis and treatment of hollow or substantial organ ruptures.

  • 【文献出处】 中国民康医学 ,Medical Journal of Chinese People’s Health , 编辑部邮箱 ,2014年18期
  • 【分类号】R445.1;R656
  • 【被引频次】3
  • 【下载频次】25
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