超声在X线检查阴性的闭合性胸壁损伤中的应用价值  

Application of Ultrasonography in X-ray Negative Patient with Closed Chest Wall Injury

作　　者：袁树芳[1] 刘俐[1] YUAN Shu-fang;LIU Li(Department of Ultrasound Imaging, Shenzhen hospital, Peking University, Shenzhen 518035, Guangdong Province, China)

机构地区：[1]北京大学深圳医院超声影像科

出　　处：《罕少疾病杂志》2019年第3期3-4,32,共3页Journal of Rare and Uncommon Diseases

基　　金：深圳市“三名工程”资助项目(No.SZSM201512026)

摘　　要：目的探讨超声在X线检查阴性的闭合性胸壁损伤中的应用价值。方法对22例X线检查阴性的闭合性胸壁损伤患者进行胸壁疼痛部位超声检查,观察皮下软组织及各肋骨的情况。结果 4.5%(1/22)出现两处肋骨骨折,4.5%(1/22)出现肋软骨骨折,64.3%(14/22)肋骨可见不同部位的单处青枝骨折并骨膜下血肿,13.6%(3/22)出现皮下脂肪层挫伤,9.1%(2/22)存在肋骨骨膜节段性增厚,4.5%(1/22)出现筋膜层局部撕裂。结论超声可有效弥补X线检查的不足,尤其适用于X线不能显示的轻微骨折、肋软骨骨折以及软组织挫伤。Objective To discuss the value of ultrasonography in X-ray negative patient with closed chest wall injury. Methods Ultrasound was performed in 22 patients with closed chest wall injury who had negative findings by X-ray examination.The subcutaneous soft tissue and ribs were observed. Results 4.5%(1/22) had two rib fractures, 4.5%(1/22) had costal cartilage fracture.64.3%(14/22) of the patients had single rib brunch fracture with subperiosteal hematoma at different sites. 13.6%(3/22) had subcutaneous fat layer contusion.9.1%(2/22) had thicken segmental costal periosteal. 4.5%(1/22) had local tearing in fascia. Conclusion Ultrasound can effectively remedy the deficiency of X-ray examination, especially for minor fracture, costal cartilage fracture and soft tissue contusion which X-ray can not show.

关 键 词：超声 X线 闭合性胸壁损伤 

分 类 号：R323.21[医药卫生—人体解剖和组织胚胎学] R655.1[医药卫生—基础医学]