中国医学影像学杂志
中國醫學影像學雜誌
중국의학영상학잡지
CHINESE JOURNAL OF MEDICAL IMAGING
2013年
12期
920-923
,共4页
郭朝锋%王晓静%薛洁%张阳
郭朝鋒%王曉靜%薛潔%張暘
곽조봉%왕효정%설길%장양
急腹症%阑尾炎%超声检查,多普勒,彩色
急腹癥%闌尾炎%超聲檢查,多普勒,綵色
급복증%란미염%초성검사,다보륵,채색
Abdominal diseases,acute%Appendicitis%Ultrasonography,Doppler,color
目的探讨全面腹部超声检查在急腹症诊断中的价值。资料与方法连续选取234例急腹症患者，按照随机数字法分为研究组和对照组，研究组患者接受全面腹部超声检查，对照组接受传统的选择性腹部超声检查，以病理检查结果或临床随访结果为标准，比较两组的诊断符合率、超声检查时间及临床诊断时间。结果研究组的诊断符合率为95.04%（115/121）高于对照组的86.73%（98/113），差异有统计学意义（χ2=4.946, P<0.05）；研究组的超声检查时间[（16.41±1.31）min]显著长于对照组[（10.11±4.35）min]，差异有统计学意义（t=14.771, P<0.05）；研究组的临床诊断时间[（2.00±1.30）h]显著短于对照组[（2.65±1.72）h]，差异有统计学意义（t=3.301, P<0.05）。结论全面腹部超声检查尽管费时较长，但可以提高急腹症的诊断准确率，缩短临床诊断时间，有较高的临床应用价值。
目的探討全麵腹部超聲檢查在急腹癥診斷中的價值。資料與方法連續選取234例急腹癥患者，按照隨機數字法分為研究組和對照組，研究組患者接受全麵腹部超聲檢查，對照組接受傳統的選擇性腹部超聲檢查，以病理檢查結果或臨床隨訪結果為標準，比較兩組的診斷符閤率、超聲檢查時間及臨床診斷時間。結果研究組的診斷符閤率為95.04%（115/121）高于對照組的86.73%（98/113），差異有統計學意義（χ2=4.946, P<0.05）；研究組的超聲檢查時間[（16.41±1.31）min]顯著長于對照組[（10.11±4.35）min]，差異有統計學意義（t=14.771, P<0.05）；研究組的臨床診斷時間[（2.00±1.30）h]顯著短于對照組[（2.65±1.72）h]，差異有統計學意義（t=3.301, P<0.05）。結論全麵腹部超聲檢查儘管費時較長，但可以提高急腹癥的診斷準確率，縮短臨床診斷時間，有較高的臨床應用價值。
목적탐토전면복부초성검사재급복증진단중적개치。자료여방법련속선취234례급복증환자，안조수궤수자법분위연구조화대조조，연구조환자접수전면복부초성검사，대조조접수전통적선택성복부초성검사，이병리검사결과혹림상수방결과위표준，비교량조적진단부합솔、초성검사시간급림상진단시간。결과연구조적진단부합솔위95.04%（115/121）고우대조조적86.73%（98/113），차이유통계학의의（χ2=4.946, P<0.05）；연구조적초성검사시간[（16.41±1.31）min]현저장우대조조[（10.11±4.35）min]，차이유통계학의의（t=14.771, P<0.05）；연구조적림상진단시간[（2.00±1.30）h]현저단우대조조[（2.65±1.72）h]，차이유통계학의의（t=3.301, P<0.05）。결론전면복부초성검사진관비시교장，단가이제고급복증적진단준학솔，축단림상진단시간，유교고적림상응용개치。
Purpose To investigate the value of systemic abdominal ultrasonography in the diagnosis of acute abdominal diseases. Materials and Methods A total of 234 patients with acute abdominal diseases were enrolled consecutively in the study and randomly divided into the study group who received systemic abdominal ultrasonography and the control group who received traditional selective abdominal ultrasonography. The diagnose accordance rate and diagnose duration of two groups were compared with the results of pathology or clinical follow-up which served as the golden standard. Results The diagnose accordance rate in the study group (95.04%, 115/121) was significantly higher than that of the control group (86.73%, 98/113) (χ2=4.946, P<0.05);the ultrasound examination duration in the study group was statistically longer than that of the control group [(16.41±1.31) min vs (10.11±4.35) min, t=14.771, P<0.05], and the diagnose duration in the study group was significantly shorter than that of the control group [(2.00±1.30) h vs (2.65±1.72) h, t=3.301, P<0.05]. Conclusion Systemic abdominal ultrasonography can improve the diagnosis coincidence rate and shorten the duration in the diagnosis of acute abdominal diseases.
