5G远程机器人超声诊断急腹症  

5G robot assisted tele-ultrasound for diagnosing acute abdomen

作　　者：李柯研 任秀昀 吕发勤 赵媛媛 张铭 武杜杜 吴盛正 LI Keyan;REN Xiuyun;LYU Faqin;ZHAO Yuanyuan;ZHANG Ming;WU Dudu;WU Shengzheng(Department of Ultrasound,Hainan Hospital of Chinese PLA General Hospital,Sanya 572013,China;Department of Ultrasound,Third Medical Center of Chinese PLA General Hospital,Beijing 100089,China;The Second School of Clinical Medicine,Southern Medical University,Guangzhou 510405,China;Department of Electrocardiogram and Ultrasound,Sansha People's Hospital,Sansha 573100,China)

机构地区：[1]中国人民解放军总医院海南医院超声诊断科,海南三亚572013 [2]中国人民解放军总医院第三医学中心超声诊断科,北京100089 [3]南方医科大学第二临床医学院,广东广州510405 [4]三沙市人民医院心电超声科,海南三沙573100

出　　处：《中国医学影像技术》2022年第6期928-931,共4页Chinese Journal of Medical Imaging Technology

基　　金：解放军总医院军事医学科研计划(QNC19050、CX19025)。

摘　　要：目的观察5G远程机器人超声诊断急腹症的价值。方法回顾性分析44例于永兴岛接受5G远程机器人超声检查的急腹症患者,以专家复诊结果、其他影像学检查(X线、CT、MRI等)及随访结果作为参考诊断标准,评估5G远程机器人超声诊断的准确性,分析医师5G远程机器人超声操作经验对检查时长的影响,观察其诊断效能。结果每例患者远程超声检查时间为10~27 min,平均(17.91±3.99)min。根据参考标准,44例中,阳性39例、阴性5例;5G远程机器人超声检出阳性34例、阴性10例;正确诊断39例,漏诊5例,包括3例输尿管中下段结石和2例胆囊颈部结石,其诊断急腹症的准确率为88.64%(39/44),敏感度为87.18%(34/39)、特异度为100%(5/5),漏诊率为12.82%(5/39)。44例检查均由同一名医师于其具有初、中及高级操作经验时进行,分别检查18、12及14例,漏诊3、1及1例,检查时长分别为(20.83±3.38)、(17.25±2.70)及(14.71±2.87)min,三者总体比较及两两比较差异均有统计学意义(P均<0.05)。结论5G远程机器人超声检查可在医疗资源匮乏等特殊情况下快速、实时诊断急腹症,且效能较佳。Objective To observe the value of 5G robot assisted tele-ultrasound for diagnosing acute abdomen.Methods Data of 44 patients with acute abdomen in Yongxing island who underwent 5G robot assisted tele-ultrasound were retrospectively analyzed.Taken the subsequent visit results of experts,other imaging examinations(X-ray,CT,MRI,etc.)and follow-up as the referent diagnostic standards,the diagnostic accuracy of 5G robot assisted tele-ultrasound was evaluated.The influence of doctor's experience of 5G robot assisted tele-ultrasound on the time spent of examination was analyzed,and the diagnostic efficacy was observed.Results The time spent of tele-ultrasound examination of each patient was 10-27 min,with an average of(17.91±3.99)min.According to referent diagnostic standards,39 cases were positive and 5 cases were negative.5G robot assisted tele-ultrasound diagnosed 34 positive cases,10 negative cases but missed 5 cases,including 3 cases of middle and lower ureteral calculi and 2 cases of gallbladder neck calculi,totally correctly diagnosed 39 cases.The accuracy of 5G robot assisted tele-ultrasound for diagnosing acute abdomen was 88.64%(39/44),the sensitivity was 87.18%(34/39),the specificity was 100%(5/5),and the missed diagnosis rate was 12.82%(5/39).All 44 cases were examined by the same doctor when he had primary,intermediate and advanced experience.Respectively 18,12 and 14 cases were examined,and 3,1 and 1 cases were missed.The examination time was(20.83±3.38),(17.25±2.70)and(14.71±2.87)min respectively.There were significant differences in the overall comparison of the three and the comparison between the two(all P<0.05).Conclusion 5G robot assisted tele-ultrasound could quickly diagnose acute abdomen in real time under special conditions such as lack of medical resources,and its efficacy was good.

关 键 词：急腹症 远程医学 机器人 超声检查 

分 类 号：R656.1[医药卫生—急诊医学] R445.1[医药卫生—外科学]