B型超声在腹内脏器损伤诊断中的应用  

Application of B - type ultrasound in the diagnosis of injury in abdominal organs

作　　者：张家庭[1] 李安华[1] 高露露[1] 

机构地区：[1]深圳市红十字会医院B超室,518035

出　　处：《影像诊断与介入放射学》2000年第3期168-169,共2页Diagnostic Imaging & Interventional Radiology

摘　　要：目的 探讨腹内脏器损伤的声像图特点以及超声诊断价值。方法 应用二维超声对180例腹内脏器损伤患者进行超声检查,并与手术及临床诊断结果对照。结果 180例患者中实质性脏器损伤96例,空腔脏器损伤31例,脏器损伤伴腹腔积液139例,占77.2％,腹膜后血肿28例。B超诊断完全符合占67.2％(121/180),部分符合占15％(45/180),不符合占7.8％(14/180)。结论 腹内脏器损伤的声像图表现与损伤部分、程度和时间密切相关、腹腔积液是判断有无脏器损伤最敏感的指标。据此超声能对脏器损伤分型和程度判断,能为手术抉择提供重要依据。bjective: To discuss the features of sonography and significance of ultrasound diagnosis in injuries in abdominal organs. Method: Two - dimensional ultrasound was cpplied in the ultrasound examination over 180 cases of patients of injuries in abdominal organs and making contraposition with surgical and clinical diagnosis, Result: Among the 180 cases, 96 were virtual injury of abdominal organs, 31 were injury of hollow viscus, 139 were injury of abdominal organs with hydrops abdominis, which took up 77. 2% of all, and the other 28 cases were post abdominal cavity hematoma. A proportion of 67. 2% of the B - type ultrasound diagnoses were accordant (121/180), 15% were partly accordant(45/180) and, 7.8% were inaccordant (14/180) . Conclusion: Sonography of abdominal organ injuries is closely related to the part injured, degree as well as period of injury, and hydropsabdominis is the most sensitive index in the judgement of abdominal organ injuries. Accordingly, the result of B - type ultrasound facilitates classification of types as well as judgement over the degree, of injury of abdominal organs, and provides significant evidences for the decisions on surgeries.

关 键 词：腹内脏器损伤 超声检查 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]