腹腔穿刺术应用于外科急腹症与闭合性腹部损伤临床价值研究.docVIP

腹腔穿刺术应用于外科急腹症与闭合性腹部损伤临床价值研究 　　[摘要] 目的 探究腹腔穿刺术应用于外科急腹症与闭合性腹部损伤的诊断价值。 方法 整群选取该院2013年6月―2015年4月急腹症与闭合性腹部损伤患者255例作为研究对象，其中外科急腹症患者150例，闭合性腹部损伤患者105例。所有患者均进行腹部穿刺术进行帮助诊断，并将诊断结果与病理分析结果进行对比分析。 结果 该次研究共计腹腔穿刺299次，诊断阳性共计250例，阴性5例，阳性率高达98.04%。其中外科急腹症阳性147例，阴性3例，阳性检出率为98.00%，闭合性腹部损伤阳性103例，阴性2例，阳性检出率为98.10%，诊断结果与病理检查诊断结果相近，P0.05，差异无统计学意义。 结论 腹腔穿刺术可快速诊断外科急腹症与闭合性腹部损伤患者，该方法简单易行，可减轻患者多重检查痛苦，具有较高的临床诊断价值，可进行广泛地临床推广应用。 　　[关键词] 腹腔穿刺；外科急腹症；闭合性腹部损伤；检出率 　　[中图分类号] R656 [文献标识码] A [文章编号] 1674-0742（2015）09（b）-0064-02 　　[Abstract] Objective To investigate the value of abdominocentesis in diagnosis of surgical acute abdomen and closed abdominal injury. Methods 255 patients， 150 with surgical acute abdomen and 105 with closed abdominal injury， admitted to our hospital between June 2013 and April 2015 were selected as the research object. All the patients underwent abdominocentesis as auxiliary diagnosis. We analyze and compared the results with that of pathologic analysis. Results Abdominocentesis were performed 299 times in this study， and 250 patients （98.04%） were surgical acute abdomen or closed abdominal injury-positive and 5 were surgical acute abdomen or closed abdominal injury-negative. Among them， 147 patients （98.00%） were surgical acute abdomen-positive and 3 were surgical acute abdomen-negative； 103 patients （98.10%） were closed abdominal injury-positive and 2 were closed abdominal injury-negative. The results above were similar to that of pathologic analysis without statistically significant difference， P0.05. Conclusion Abdominocentesis has high value and is worthy of promotion in diagnosis of surgical acute abdomen and closed abdominal injury because it is rapid and easy in operation and can reduce the pain patients may suffer in multiple check. 　　[Key words] Abdominal puncture； Surgical acute abdomen. Closed Abdominal Injury； Detection rate 　　外科急腹症与闭合性腹部损伤是临床较为多见的疾病，腹部闭合性损伤与外科急腹症的处理关键是早期明确患者有无内脏损伤，决定是否进行手术治疗[1]。若患者就诊时检查项目过多，误诊的几率较高，检查时间过长，也会延误患者最佳治疗机会，因而外科急腹症与腹部闭合性损伤的临床诊断极为重要