床旁B超对胸部创伤性气胸的诊断价值  

Diagnostic Value of Bedside B Ultrasound in Thoracic Traumatic Pneumothorax

作　　者：王诗斌 WANG Shi-bin(Department of Ultrasound,Ganxian District People's Hospital,Ganzhou 341100,Jiangxi,China)

机构地区：[1]赣州市赣县区人民医院超声科,江西赣州341100

出　　处：《医学信息》2021年第22期166-168,共3页Journal of Medical Information

摘　　要：目的明确床旁B超对于胸部创伤的诊断价值。方法选取2020年1月-2021年6月我院收治的70例疑似气胸患者作为研究对象,分别使用胸部CT、床旁B超及胸部X片进行检查,以胸部CT检查结果金标准,分析床旁B超及胸部X片的检查结果。结果共检出64例气胸患者,胸膜线、A线以及肺滑消失共62例(96.88%),肺点为53例(82.81%);床旁B超对气胸的检出率高于胸部X片,差异有统计学意义(P<0.05);床旁B超的灵敏性、准确率高于胸部X片,差异有统计学意义(P<0.05);两种方式的特异度、阴性预测值与阳性预测值比较,差异无统计学意义(P>0.05);床旁B超的检测时间低于胸部X片,差异有统计学意义(P<0.05)。结论采用床旁B超对胸部创伤性气胸进行检测,具有检测时间短、灵敏性及准确率高的优势,可用于胸部创伤性气胸患者的诊断中。Objective To clarify the diagnostic value of bedside B ultrasound for chest trauma.Methods Selected 70 patients with suspected pneumothorax admitted in our hospital from January 2020 to June 2021 as the research objects.The patients were examined by chest CT,bedside ultrasound,and chest X-ray,the results of bedside B ultrasound and chest X-ray were analyzed with the gold standard of chest CT.Results A total of 64 patients with pneumothorax were detected,62 cases(96.88%)of pleural line,A line and lung slip disappeared,and 53 cases(82.81%)of lung point;the detection rate of bedside B ultrasound for pneumothorax was higher than that of chest X-ray,and the difference was statistically significant(P<0.05).The sensitivity and accuracy of bedside B ultrasound were higher than those of chest X-ray,and the difference was statistically significant(P<0.05).There was no significant difference in specificity,negative predictive value and positive predictive value between the two methods(P>0.05).The detection time of bedside B-ultrasound was lower than that of chest X-ray,and the difference was statistically significant(P<0.05).Conclusion edside B-ultrasound has the advantages of short detection time,high sensitivity and accuracy,and can be used in the diagnosis of patients with chest traumatic pneumothorax.

关 键 词：床旁B超 气胸 胸部X片 胸部CT 

分 类 号：R655[医药卫生—外科学]