超声对腹部脏器外伤诊断价值.docVIP

超声对腹部脏器外伤诊断价值 　　[摘要] 目的：观察总结外伤性腹腔脏器破裂的声像图特征，为临床提供有价值的诊治依据。方法：对100例超声诊断为外伤性内脏破裂患者声像图进行观察、记录，并根据临床诊治结果进行分析。结果：100例中经超声诊断腹腔积液的100例，经手术证实98例，准确率为98%。超声诊断有95例实质性脏器（包括肝、脾、肾、胰腺）破裂，后经手术证实的有88例，准确率为92.4%；5例密切追踪观察治疗后痊愈；2例误诊。100例中5例超声诊断为空腔脏器破裂，手术证实3例，误诊2例。结论：无论是空腔脏器破裂还是实质脏器破裂，及时准确的超声诊断具有重要意义。 　　[关键词] 腹部脏器；外伤；超声诊断；声像图特征 　　[中图分类号] R445.1 [文献标识码] C [文章编号] 1674-4721（2011）12（b）-096-02 　　 　　Ultasonic diagnosis of injury in abdominal organs 　　WANG Qinghua1, DANG Runmin2, ZHANG Hongmei2* 　　1.Department of Ultasonic, Longtan Distirict Hospital of Jilin City, Jilin Province, Jilin 132000, China; 2.Department of Radiology, the Affiliated Hospital of Jilin Medical College, Jilin 132000, China 　　[Abstract] Objective: To study the ultrasonographic characteristics of abdominal traumatic visceral ruptures and try to provide information for clinical diagnosis. Methods: The ultrasonographic features of 100 cases with intra-abdominal injury were observed, recorded and analyzed. Results: Intraabdominal fluid was diagnosed in 100 cases by ultrasonography, 98 cases of them were confirmed by surgery, the detective rate of intraabdominal fluid was 98%. 95 cases were diagnosed as substantial organ ruptures, including liver, spleen, kidney and pancreas, 88 cases were confirmed by surgery, the detective accuracy of organ trauma was 92.4%; Five cases were traced, observed and cured; 2 cases were misdiagnosed. Cavitary organ trauma were found in the other 5 cases, three cases of them were confirmed by surgery and the other two was misdiagnosed. Conclusion: Ultrasound is the important way for the diagnosis and treatment of cavitary or substantial organ ruptures. 　　[Key words] Abdominal organs; Injury; Ultrasonic diagnosis; Acoustic image 　　 　　腹部脏器外伤是临床较为常见的急腹症，以交通事故、施工、斗殴为常见原因[1]。仅凭临床症状和一般查体确定有无腹部脏器损伤及破裂很困难。超声检查因其方便、迅速、安全费用低廉、准确性高、重复性好等优点成为首选方法。现将2009年1月～2010年12月腹部外伤而致腹部脏器损伤的超声结果报道如下： 　　1 资料与方法 　　1.1 一般资料 　　本组100例均为来本院就诊的外伤住院患者，其中，男85例，女15例，年龄8～70岁，平均39岁；就诊时间为伤后0.5～7.0 d，均为因外伤来本院就诊并经超声检查以后再进