腹部外伤致内脏破裂的超声诊断  

Diagnosis of Broken Viscera Caused by Abdomen Trauma with Ultrasonography

作　　者：孟凡艳[1] 贺广明[1] 

机构地区：[1]江苏省灌云县人民医院超声科,江苏灌云222200

出　　处：《医学临床研究》2005年第9期1241-1243,共3页Journal of Clinical Research

摘　　要：【目的】分析外伤致内脏破裂的各种声像图特征以提高超声对此类疾病的诊断价值,协助临床及时判定有无内脏破裂及损伤程度,正确选择处理方法。【方法】回顾性分析总结了112例外伤患者经手术及临床证实为内脏破裂的超声二维及彩色多普勒特征。【结果】本组病例诊断符合率96%(108/112),漏诊率4%(4/112)。其中脾破裂45例,肝破裂27例,肾破裂21例,胰腺破裂3例,胃肠破裂6例,复合性破裂10例。其中伴有腹腔积液的104例,超声检出率100%(104/104)。【结论】超声检查在外伤致内脏破裂中具有特征性声像图表现,在腹部外伤的诊断中有重要价值。[Objective]To analyze audiovideo characteristics of broken viscera caused by abdomen trauma and raise the diagnosis value of these diseases with uhrasonography. To help judge clinically whether there were any damages to viscera, in order to choose the treatment method correctly. [Methods]Two-dimentional and coloured Doppler characteristics of 112 patients with broken viscera were summarized. [Results] In 112 patients, spleens were broken in 45 cases, livers in 27, kidneys in 21, pancreases in 3, intestines and stomachs in 6, compound ruptures in 10. In these patients, correct diagnosis were made by uhrasonography in 108 cases （96%）, misdiagnoses in 4 cases （4%）. In 104 cases with blood in abdomen, the ultrasound accuracy rate reached 100%. [Conclusion] It is the first choice to adopt uhrasonography in determining broken viscera caused by trauma with its specical audiovideo chart.

关 键 词：腹部损伤/并发症 破裂/超声检查 内脏 

分 类 号：R826.65[医药卫生—临床医学]