浅表超声和腹部超声联合检查在急腹症临床诊断中的应用价值  

Application Value of Combined Examination of Superficial Ultrasonography and Abdominal Ultrasonography in Clinical Diagnosis of Acute Abdomen

作　　者：郑金新 蔡龙金 陈永成 ZHENG Jin-xin;CAI Long-jin;CHEN Yong-cheng(Department of Ultrasound Imaging,Putian Hanjiang Hospital,Fujian Putian 351111)

机构地区：[1]莆田涵江医院超声影像科,福建莆田351111

出　　处：《中国医疗器械信息》2024年第22期20-22,42,共4页China Medical Device Information

摘　　要：目的:深入探讨浅表超声与腹部超声联合应用于急腹症临床诊断的价值。方法:选择2021年4月~2023年4月于莆田涵江医院诊治的189例急腹症患者,所有患者均采取浅表超声(Superficial ultrasound,SU)与腹部超声(abdominal ultrasonography,AU),以病理结果为金标准,对比SU组、AU组、SU+AU组三组的灵敏度、特异性、准确率、阳性预测值、阴性预测值、病因诊断准确率。结果:SU组的灵敏度、特异性、准确率、阳性预测值、阴性预测值分别为86.67%、55.56%、85.19%、97.50%、17.24%,AU组的灵敏度、特异性、准确率、阳性预测值、阴性预测值分别为81.67%、66.67%、80.95%、98.00%、15.38%,SU+AU组的灵敏度、特异性、准确率、阳性预测值、阴性预测值分别为97.22%、77.78%、96.30%、98.87%、58.33%。SU组与AU组间对比差异无统计学意义(P>0.05),SU+AU组和SU组进行比较时,前者在灵敏度、特异性、准确率以及阴性预测值方面表现出了优于后者的显著优势(P<0.05),但阳性预测值两组并未展现出明显的差异(P>0.05);SU+AU组与AU组进行对比,前者在敏感度、准确率及阴性预测值上显示出高于后者的水平(P<0.05),但在特异性和阳性预测值两个维度,两者之间差异并无明显的区别(P>0.05)。结论:对急腹症患者采取浅表超声和腹部超声联合检查,能够有效提高对急腹症的检出率,为临床提供治疗依据。Objective:To study the application value of combined superficial ultrasonography and abdominal ultrasonography in the clinical diagnosis of acute abdomen.Methods:A total of 189 patients with acute abdomen admitted to Putian Hanjiang Hospital from April 2021 to April 2023 were selected.All patients underwent Superficial ultrasound(SU)and abdominal ultrasonoply(AU),and the pathological results were taken as the gold standard.We conducted a comprehensive analysis to assess performance measures such as sensitivity,specificity,accuracy,positive predictive value,negative predictive value,and etiological diagnostic accuracy for each of the three groups–SU group,AU group,and combined SU+AU group.Results:The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of the SU group were 86.67%,55.56%,85.19%,97.50%,and 17.24%,respectively;The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of the AU group were 81.67%,66.67%,80.95%,98.00%,and 15.38%,respectively;The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of the SU+AU group were 97.22%,77.78%,96.30%,98.87%,and 58.33%,respectively.There was no statistically significant difference between SU group and AU group(P>0.05),measured levels of sensitivity,specificity,accuracy,and negative predictive efficacy for the SU+AU subset significantly exceeded those observed in the SU segment(P<0.05),and the positive predictive value was not statistically significant between SU group and SU group(P>0.05).The sensitivity,accuracy and negative predictive value of SU+AU group were higher than those of AU group(P<0.05),but there was no significant difference in specificity and positive predictive value between SU+AU group and AU group(P>0.05).Conclusion:The combined examination of superficial ultrasound and abdominal ultrasound in patients with acute abdomen can effectively improve the detection rate of acute abdomen and provide evidence for clinical treatment.

关 键 词：急腹症 浅表超声 腹部超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]