超声造影对腹腔实质脏器闭合性损伤的诊断价值  

Diagnostic value of contrast-enhanced ultrasonography in abdominal parenchyma organ injury

作　　者：杜燕[1] 李书兵[1] DU Yan;LI Shubing(Department of Ultrasound,Chongqing Emergency Medical Center,Chongqing 400014,China)

机构地区：[1]重庆市急救医疗中心超声科,400014

出　　处：《重庆医学》2020年第11期1759-1761,共3页Chongqing medicine

基　　金：重庆市渝中区科技计划项目(20170135)。

摘　　要：目的比较超声造影与常规超声在腹腔实质脏器闭合性损伤的诊断价值。方法收集该院2018年1月至2019年4月收治的35例腹腔实质脏器闭合性损伤患者的临床资料,对常规超声和超声造影诊断腹腔实质脏器闭合性损伤的灵敏度、准确度、特异度进行分析。结果35例腹腔实质脏器闭合性损伤患者经超声造影检查发现肝损伤10例,脾损伤15例,肾损伤5例。与手术或增强CT结果对比,超声造影诊断的灵敏度、准确度、特异度分别为97%、94%和80%,而常规超声诊断的灵敏度、准确度、特异度分别为73%、71%、60%,常规超声和超声造影诊断腹腔实质脏器闭合性损伤的灵敏度、准确度、特异度,差异有统计学意义(P<0.05)。结论超声造影可能成为一种便捷、准确的腹部实质脏器损伤诊断手段。Objective To compare the diagnostic value of contrast-enhanced ultrasonography and conventional ultrasonography in abdominal parenchyma organ injury.Methods Clinical data of patients with abdominal parenchyma organ injury admitted to this hospital from January 2018 to April 2019 were retrospectively analyzed.The sensitivity,accuracy and specificity of the two methods in the diagnosis of abdominal parenchyma organ injury were analyzed.Results Among 35 cases of abdominal parenchymal organ injury,there were 10 cases of liver injury,15 cases of spleen injury and 5 cases of kidney injury,confirmed by ultrasound detection.Compared with the results of operation or enhanced CT,the sensitivity,accuracy and specificity of contrast-enhanced ultrasound was 97%,94%and 80%,respectively,which was 73%,71%and 60%,respectively of the conventional ultrasonography.There were significant differences in sensitivity,accuracy and specificity between the two methods(P<0.05).Conclusion Contrast-enhanced ultrasound is expected to be a more convenient and accurate diagnostic method for closed abdominal parenchymal organ injury.

关 键 词：超声检查 多普勒 彩色 超声造影 创伤 非贯通性 腹部损伤 内脏 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]