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目的观察床旁B型超声对胸部创伤性气胸的诊断价值。方法选取医院收治的胸部创伤患者84例为研究对象,进行胸部CT检查、床边B型超声、床边胸部X线检查。观察B型超声、X线片诊断结果及B型超声、X线片与CT诊断气胸的一致性。结果 B型超声诊断符合率为94.74%,高于X线的38.16%(P<0.01)。B型超声与CT诊断结果的一致性较好(P<0.05),X线片与CT诊断的一致性差(P>0.05)。结论 B型超声检查创伤性气胸,具有安全、方便、有效、快速、动态观察、无创伤等特点,对创伤性气胸的诊断有不可替代的优势,值得临床推广应用。
Objective To investigate the diagnostic value of bedside B ultrasound in the diagnosis of thoracic traumatic pneumothorax. Methods Totally 84 cases of chest trauma patients admitted to hospital were selected as the study subjects. CT chest CT, bedside ultrasound B and chest X-ray examination were performed. Observe B-mode ultrasound, X-ray diagnosis and B-mode ultrasound, X-ray and CT diagnosis of pneumothorax consistency. Results The coincidence rate of B ultrasound diagnosis was 94.74%, higher than that of X ray (38.16%, P <0.01). The consistency between B-mode ultrasound and CT was good (P <0.05), and the consistency between X-ray and CT was poor (P> 0.05). Conclusions B-mode ultrasonography is a safe, convenient, effective, rapid, dynamic and noninvasive method for traumatic pneumothorax. It has an irreplaceable advantage in the diagnosis of traumatic pneumothorax and deserves clinical application.