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目的通过回顾性试验研究,以探讨超声在急性腹部闭合性损伤中的应用价值。方法选择2004年1月1日-2009年12月31日6年间在我院就诊的急性腹部闭合性损伤、行手术治疗并术前行B超检查的患者,男女不限,共89例。按事先制定表格统计患者基本信息、受伤部位与B超诊断正确情况等。并对结果进行分析。结果在入选的89例患者中,超声诊断有腹腔积液患者85例(95.51%),手术证实有腹腔积液患者为83例(97.65%);超声诊断证实实质性脏器破裂患者82例,手术证实有实质性脏器破裂患者为80例(97.56%);超声诊断证实空腔脏器破裂患者7例,手术证实有空腔脏器破裂患者为3例(42.86%)。结论超声对急性腹部闭合性损伤诊断正确率高,可作为急性腹部闭合性损伤的首选辅助检查方法。
Objective To retrospectively study the value of ultrasound in the diagnosis of acute abdominal closed injury. Methods A total of 89 cases of acute abdominal closed injury admitted to our hospital from January 1, 2004 to December 31, 2009 were enrolled in this study. All patients underwent surgical treatment and B-ultrasound before surgery. According to the table to develop basic statistics patient information, the correct location of the injury and B-ultrasound diagnosis. And analyze the result. Results Among the 89 patients selected, 85 cases (95.51%) had ascitic fluid ascites, 83 cases (97.65%) had ascites confirmed by operation, 82 cases had confirmed by sonography, There were 80 cases (97.56%) of the patients with ruptured organ confirmed by operation, 7 cases were diagnosed as hollow organ rupture by ultrasonic diagnosis, and 3 cases (42.86%) were diagnosed as having empty organ rupture by operation. Conclusion Ultrasound has a high correct rate of diagnosis of acute abdominal closed injury and can be used as the first choice of auxiliary examination for acute abdominal closed injury.