国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
19期
2907-2910
,共4页
全面腹部超声%选择性腹部超声%急腹症%诊断价值
全麵腹部超聲%選擇性腹部超聲%急腹癥%診斷價值
전면복부초성%선택성복부초성%급복증%진단개치
Comprehensive abdominal ultrasound examination%Selective abdominal ultrasound%Acute abdomen%Diagnostic value
目的 评价全面腹部超声检查在诊断急腹症中的价值.方法 选择2012年11月至2015年3月经我院临床病理确诊的急腹症患者186例为研究对象,用随机数字表法将其分为观察组和对照组.观察组93例患者进行全面腹部超声检查,对照组93例患者进行选择性腹部超声检查.以临床病理诊断为金标准,分析两种诊断方案与临床病理诊断的符合率、腹部超声检查时间和临床诊断时间.结果 观察组诊断符合率为95.70％,显著高于对照组的86.02％(x2=4.413,P<0.05);观察组腹部超声检查时间为(16.42±3.43) min,显著高于对照组(t=14.772,P<0.05);观察组临床诊断时间为(1.98±1.29)h,显著低于对照组(t=3.302,P<0.05);观察组延迟诊断率和选择CT、X线等其他诊断发生率分别为0.00％和5.38％,均显著低于对照组(x2=24.013、5.602,P<0.05).结论 全面腹部超声检查在诊断急腹症中符合率高,虽然腹部超声检查的时间较长,但可以缩短临床诊断时间,提高一次诊断率和降低其他检查的发生率,是诊断急腹症较为理想的方法.
目的 評價全麵腹部超聲檢查在診斷急腹癥中的價值.方法 選擇2012年11月至2015年3月經我院臨床病理確診的急腹癥患者186例為研究對象,用隨機數字錶法將其分為觀察組和對照組.觀察組93例患者進行全麵腹部超聲檢查,對照組93例患者進行選擇性腹部超聲檢查.以臨床病理診斷為金標準,分析兩種診斷方案與臨床病理診斷的符閤率、腹部超聲檢查時間和臨床診斷時間.結果 觀察組診斷符閤率為95.70％,顯著高于對照組的86.02％(x2=4.413,P<0.05);觀察組腹部超聲檢查時間為(16.42±3.43) min,顯著高于對照組(t=14.772,P<0.05);觀察組臨床診斷時間為(1.98±1.29)h,顯著低于對照組(t=3.302,P<0.05);觀察組延遲診斷率和選擇CT、X線等其他診斷髮生率分彆為0.00％和5.38％,均顯著低于對照組(x2=24.013、5.602,P<0.05).結論 全麵腹部超聲檢查在診斷急腹癥中符閤率高,雖然腹部超聲檢查的時間較長,但可以縮短臨床診斷時間,提高一次診斷率和降低其他檢查的髮生率,是診斷急腹癥較為理想的方法.
목적 평개전면복부초성검사재진단급복증중적개치.방법 선택2012년11월지2015년3월경아원림상병리학진적급복증환자186례위연구대상,용수궤수자표법장기분위관찰조화대조조.관찰조93례환자진행전면복부초성검사,대조조93례환자진행선택성복부초성검사.이림상병리진단위금표준,분석량충진단방안여림상병리진단적부합솔、복부초성검사시간화림상진단시간.결과 관찰조진단부합솔위95.70％,현저고우대조조적86.02％(x2=4.413,P<0.05);관찰조복부초성검사시간위(16.42±3.43) min,현저고우대조조(t=14.772,P<0.05);관찰조림상진단시간위(1.98±1.29)h,현저저우대조조(t=3.302,P<0.05);관찰조연지진단솔화선택CT、X선등기타진단발생솔분별위0.00％화5.38％,균현저저우대조조(x2=24.013、5.602,P<0.05).결론 전면복부초성검사재진단급복증중부합솔고,수연복부초성검사적시간교장,단가이축단림상진단시간,제고일차진단솔화강저기타검사적발생솔,시진단급복증교위이상적방법.
Objective To evaluate the clinical value of comprehensive abdominal ultrasound examinationin in the diagnosis of acute abdomen.Methods 186 patients with acute abdomen admitted into our hospital from November, 2012 to March, 2015 were divided into an observation group (n=93) and a control group (n=93) by random number table.Comprehensive abdominal ultrasound examination was carried out in the observation group and selective abdominal ultrasound examination in the control group.With clinical pathological diagnosis as gold standard, the diagnostic coincidence rates of both groups were analyzed.The abdominal ultrasound examination time and clinical diagnosis time were analyzed.Results The diagnostic accordance rate of the observation group was 95.70％, which was significantly higher than that (86.02％) of the control group (x 2=4.413, P<0.05).The abdominal ultrasound examination time of the observation group was (16.42 ± 3.43) min, which was significantly higher than that of the control group (t=14.772, P<0.05);while the clinical diagnosis time of the observation group was (1.98 ± 1.29) min, which was significantly lower than that of the control group (t=3.302, P<0.05).The rates of delay diagnosis and using other diagnostic tools, CT or X-ray, of the observation group were 0.00％ and 5.38％,which were significantly lower than those of the control group (x 2=24.013, 5.602, P<0.05).Conclusions Comprehensive abdominal ultrasound examination can get a higher diagnostic coincidence rate, shorten clinical diagnosis time, increase one-time diagnostic rate, and decrease the incidence of using other tools for examination.It is an ideal diagnostic method for acute abdomen.
