中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
29期
51-52
,共2页
创伤性腹膜后血肿%超声%临床应用
創傷性腹膜後血腫%超聲%臨床應用
창상성복막후혈종%초성%림상응용
Traumatic retroperitoneal hematoma%Ultrasound%Clinical application
目的：研究探讨超声波诊断创伤性腹膜后血肿的临床应用价值。方法选取该院2009年-2014年间收治的创伤性腹膜后血肿的患者67例作为研究对象,分别采用超声波扫描和CT扫描的方法对患者进行诊断,回顾性分析患者的影像学特征,以手术病理检查结果作为判断依据,计算不同其诊断的准确性。结果以手术病理学检查结果为标准,超声诊断确诊为腹膜后血肿45例,诊断准确率为67.2%；CT诊断确诊54例,诊断准确率为80.6%,CT诊断的准确性略高于超声,但差异无统计学意义(χ2=3.31,P=0.077)。超声﹑CT联合诊断的准确率为100.0%。结论超声波检查可以对创伤性腹膜后血肿的患者进行动态观察,了解患者的血肿变化,对于腹膜后血肿的临床治疗具有一定的价值,能和CT联合应用实现诊断准确率的提高。
目的：研究探討超聲波診斷創傷性腹膜後血腫的臨床應用價值。方法選取該院2009年-2014年間收治的創傷性腹膜後血腫的患者67例作為研究對象,分彆採用超聲波掃描和CT掃描的方法對患者進行診斷,迴顧性分析患者的影像學特徵,以手術病理檢查結果作為判斷依據,計算不同其診斷的準確性。結果以手術病理學檢查結果為標準,超聲診斷確診為腹膜後血腫45例,診斷準確率為67.2%；CT診斷確診54例,診斷準確率為80.6%,CT診斷的準確性略高于超聲,但差異無統計學意義(χ2=3.31,P=0.077)。超聲﹑CT聯閤診斷的準確率為100.0%。結論超聲波檢查可以對創傷性腹膜後血腫的患者進行動態觀察,瞭解患者的血腫變化,對于腹膜後血腫的臨床治療具有一定的價值,能和CT聯閤應用實現診斷準確率的提高。
목적：연구탐토초성파진단창상성복막후혈종적림상응용개치。방법선취해원2009년-2014년간수치적창상성복막후혈종적환자67례작위연구대상,분별채용초성파소묘화CT소묘적방법대환자진행진단,회고성분석환자적영상학특정,이수술병리검사결과작위판단의거,계산불동기진단적준학성。결과이수술병이학검사결과위표준,초성진단학진위복막후혈종45례,진단준학솔위67.2%；CT진단학진54례,진단준학솔위80.6%,CT진단적준학성략고우초성,단차이무통계학의의(χ2=3.31,P=0.077)。초성﹑CT연합진단적준학솔위100.0%。결론초성파검사가이대창상성복막후혈종적환자진행동태관찰,료해환자적혈종변화,대우복막후혈종적림상치료구유일정적개치,능화CT연합응용실현진단준학솔적제고。
Objective To study the clinical application value of ultrasound in the diagnosis of traumatic retroperitoneal hematoma. Methods 67 cases with traumatic retroperitoneal hematoma admitted in our hospital from 2009 to 2014 were selected as the sub-jects, and diagnosed by ultrasonic scanning and CT scanning, respectively. The imaging characteristics of the patients were ana-lyzed, and the results of operation pathological examination were set as the basis for judging the accuracy of different diagnostic methods. Results The results of operation pathological examination were set as the standard for judging the accuracy of different diagnostic methods, 45 cases with traumatic retroperitoneal hematoma were confirmedly diagnosed by ultrasound, the diagnostic accuracy rate was 67.2%;54 cases were confirmedly diagnosed by CT, the diagnostic accuracy rate was 80.6%. The diagnostic ac-curacy rate of CT was slightly higher than that of ultrasound but without statistically significant difference (χ2=3.31, P=0.077). The diagnostic accuracy rate of ultrasound combined with CT was 100.0%. Conclusion By ultrasound, the patients with traumatic retroperitoneal hematoma can be observed dynamically, the changes of hematoma can be understood. Therefore, ultrasound has certain value in the clinical treatment of retroperitoneal hematoma, and the diagnostic accuracy rate can be improved by the com-bination of it and CT.
