摘要
目的对全面腹部超声检查在急腹症中的诊断价值展开临床对照研究。方法选取我院收入的400例急腹症患者为研究对象,在征得患者和(或)家属知情同意下分别实施选择性腹部超声检查以及全面腹部超声检查,以病理学结果为参照标准,对二者诊断结果进行比较。结果病理学结果证实,400例急腹症患者中急性阑尾炎112例、急性胆囊炎88例、急性胆管炎74例、急性胰腺炎53例、胃溃疡穿孔40例、胃肠道梗阻33例,选择性超声检查总符合率85%,全面腹部超声检查总符合率97.5%,差异有统计学意义(P<0.05);两组检查时间、临床诊断时间相比较,差异有统计学意义(P<0.05)。结论在急腹症诊断中全面腹部超声检查可取得理想的应用效果,为临床诊疗工作提供可靠的科学依据,具有重要的临床推广使用价值。
Objective To investigate the diagnostic value of comprehensive abdominal ultrasonography in acute abdomen. Methods 400 patients with acute abdominal pain from January 2016 to January 2018 in our hospital were selected as the research ob- ject. Informed consent was obtained from each patient, and selective abdominal ultrasound examination and comprehensive abdominal ultrasound examination were given and compared, respectively. The pathology results were set as the reference standard, and the diag- nosis results were compared. Results Among 400 patients with acute abdominal disease, the pathology results confirmed that the a- cute appendicitis with 112 cases, 88 cases of acute cholecystitis, 53, 74 cases of acute cholangitis, acute pancreatitis, gastric ulcer perforation 40 cases, 33 cases with gastrointestinal tract obstruction. The total coincidence rate of selective ultrasound was 85%, total abdominal ultrasound examination was 97.5% , the difference was statistically significant （P 〈 0.05）. Conclusion In the diagnosis of acute abdomen, comprehensive abdominal ultrasonography could achieve the ideal application effect, provide reliable scientific basis for clinical diagnosis and treatment, and have important clinical application value.
作者
范文涛
严攀
FAN Wen-tao(The department of Ultrasound,Hanyang Hospital,Wuhan University of Science and Technology,Wuhan 430050,Chin)
出处
《牡丹江医学院学报》
2018年第4期38-40,44,共4页
Journal of Mudanjiang Medical University
基金
武汉市卫生局(WX16E13)
关键词
全面腹部超声检查
选择性腹部超声检查
急腹症
诊断价值
total abdominal ultrasound
selective abdominal ultrasound
acute abdomen
diagnostic value
