腹部创伤定点超声诊断急诊腹部闭合性创伤的价值分析  

Value analysis of fixed-point ultrasound in the diagnosis of emergency closed abdominal trauma

作　　者：徐菊梅 牟相成 XU Jumei;MU Xiangcheng(Department of Ultrasound,Guangrao County Hospital of Traditional Chinese Medicine,Dongying,Shandong 257300,China)

机构地区：[1]广饶县中医院超声科,山东东营257300

出　　处：《影像研究与医学应用》2023年第16期4-6,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨创伤定点超声检查在急诊患者中对于腹部闭合性创伤的诊断价值。方法:选取2021年1月—2023年1月于广饶县中医院就诊的腹部闭合性创伤急诊患者80例,应用计算机断层扫描(CT)、创伤定点超声对患者进行检查,对比在腹部闭合性创伤诊断中应用CT、创伤定点超声对于脾破裂、肝破裂、肾损伤、胰腺损伤的检出率,并比较CT、创伤定点超声检查耗时。统计80例腹部闭合性创伤患者的休克发生情况,按照患者是否发生休克,将患者分为休克组与未休克组,对比两组的超声指标。结果:在发生腹部闭合性创伤的80例患者中,创伤定点超声对于脾破裂、肝破裂、肾损伤、胰腺损伤检出率均高于CT (P<0.05);创伤定点超声检查耗时显著短于CT检查(P<0.001)。80例腹部闭合性创伤患者中,有19例患者在入院后发生休克,经创伤定点超声检测,休克组的下腔静脉塌陷指数高于未休克组(P<0.05),休克组的肠系膜上动脉、肠系膜上静脉的直径均小于未休克组(P<0.05)。结论:创伤定点超声对于腹部闭合性创伤开展诊断具有良好的诊断价值,对不同类型的脏器损伤可予以准确检出,还可利用超声测量腹部血管情况对腹部闭合性创伤患者发生的休克进行辅助判断。Objective To study and explore the value of fixed-point trauma ultrasound examination in the diagnosis of closed abdominal trauma in emergency patients.Methods A total of 80 cases of emergency patients with closed abdominal trauma treated in Guangrao County Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected for examination by computerized tomography(CT)and fixed-point trauma ultrasound.The detection rates of spleen rupture,liver rupture,kidney injury and pancreas injury by CT and fixed-point trauma ultrasound in the diagnosis of closed abdominal trauma were compared.The time consuming of CT and fixed-point trauma ultrasound was compared.Statistical analysis was conducted on the occurrence of shock in 80 patients with closed abdominal trauma,the patients were divided into shock group and non-shock group based on whether they experienced shock,and the ultrasound indicators were compared between the two groups.Results In 80 patients with closed abdominal trauma,the detection rate of fixed point ultrasound for spleen rupture,liver rupture,kidney injury and pancreas injury was higher than that of CT(P<0.05),and the time of fixed-point ultrasound examination was significantly shorter than that of CT examination(P<0.001).Among the 80 patients with closed abdominal trauma,19 patients had shock after admission,according to trauma targeted ultrasound testing,the collapse index of the inferior vena cava in the shock group was higher than that in the nonshock group(P<0.05),the diameters of the superior mesenteric artery and superior mesenteric vein in the shock group were smaller than those in the non-shock group(P<0.05).Conclusion Fixed-point trauma ultrasound for the diagnosis of closed abdominal trauma has good diagnostic value.It can accurately detect different types of organ injuries,and can also use ultrasound to measure abdominal blood vessels to assist in the diagnosis of shock in patients with closed abdominal trauma.

关 键 词：腹部闭合性创伤 诊断 影像学 计算机断层扫描 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]