全面腹部超声与选择性腹部超声在急腹症诊断中的价值探讨  

The Value of Comprehensive Abdominal Ultrasound and Selective Abdominal Ultrasound in the Diagnosis of Acute Abdomen

作　　者：成硕[1] CHENG Shuo(Jinzhou Central Hospital,Liaoning Jinzhou 121001)

机构地区：[1]锦州市中心医院

出　　处：《中国医疗器械信息》2020年第3期81-82,共2页China Medical Device Information

摘　　要：目的:探讨全面腹部超声与选择性腹部超声在急腹症诊断中的价值。方法:选取2016年1月~2018年1月本院收治的急腹症患者90例为观察对象,根据不同腹部超声检查分为两组,全面腹部超声组(n=45)接受全面腹部超声检查,选择性腹部超声组(n=45)接受选择性腹部超声检查,对比两组患者病理检查结果和超声诊断符合率以及临床诊断时间和超声检查时间。结果:两组患者病理检查结果对比差异不明显,无统计学意义(P>0.05);全面腹部超声组超声诊断符合率93.33%明显高于选择性腹部超声组73.33%,差异具有统计学意义(χ^2=14.3977,P<0.05);全面腹部超声组临床诊断时间(2.12±0.38)min明显短于选择性腹部超声组(2.81±0.40)min,超声检查时间(16.63±3.07)min明显长于选择性腹部超声组(11.20±2.26)min,差异具有统计学意义(t=8.3894、9.5551,P<0.05)。结论:全面腹部超声诊断急腹症检查时间虽然较选择性腹部超声检查更长,但具有较高的准确率,且临床诊断时间短,更利于早期诊断急腹症。Objective:To explore the value of comprehensive abdominal ultrasound and selective abdominal ultrasound in the diagnosis of acute abdomen.Methods:Ninety patients with acute abdomen treated in our hospital(from January 2016 to January 2018)were selected and divided into two groups according to different abdominal ultrasound examinations.The comprehensive abdominal ultrasound group(n=45)received comprehensive abdominal ultrasound examinations.The selective abdominal ultrasound group(n=45)underwent selective abdominal ultrasound examination,and the results of pathological examination and ultrasound diagnosis were compared between the two groups.The clinical diagnosis time and ultrasound examination time were compared.Results:There was no significant difference in pathological examination results between the two groups of patients,with no statistical significance(P>0.05).The coincidence rate of ultrasound diagnosis in the general abdominal ultrasound group was 93.33%,which was significantly higher than that in the selective abdominal ultrasound group of 73.33%.(χ^2=14.3977,P<0.05);The clinical diagnosis time(2.12±0.38)min in the general abdominal ultrasound group was significantly shorter than that in the selective abdominal ultrasound group(2.81±0.40)min,and the ultrasound examination time(16.63±3.07)min was significantly longer than the selectivity.In the abdominal ultrasound group(11.20±2.26)min,the difference was statistically significant(t=8.3894,9.5551,P<0.05).Conclusion:Although comprehensive abdominal ultrasound diagnosis of acute abdomen is longer than selective abdominal ultrasound,it has a higher accuracy rate and shorter clinical diagnosis time,so it is more conducive to early diagnosis of acute abdomen and is worthy of clinical promotion.

关 键 词：急腹症 全面腹部超声 选择性腹部超声 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]