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目的 :探讨及时准确诊断膀胱破裂简单、实用、可靠的方法。方法 :对 41例膀胱破裂患者行膀胱导尿试验、膀胱造影、B超、CT腹部检查。结果 :41例行膀胱灌注试验 ,阳性 2 4例 ,阳性率 5 8 5 4% ,结合注气试验 31例 ,阳性 2 8例 ,阳性率90 32 % ;2 1例行膀胱造影 ,2 1例阳性 ,阳性率 10 0 % ;B超检查 12例 ,阳性 6例 ,阳性率 5 0 % ;CT检查 8例 ,5例阳性 ,阳性率6 2 5 0 %。结论 :膀胱注水试验是一种简单的诊断方法 ,但假阴性率较高 ,如结合膀胱注气试验 ,可提高诊断率 ;膀胱造影是一种简单又可靠、实用、直观的诊断方法 ;B超检查对于膀胱注水、注气试验阴性且又不宜搬动行X线检查的患者 ,不失为一种诊断方法 ;CT虽然可诊断膀胱破裂 ,但费用、假阴性率较高 ,意义不大
Objective: To explore a simple, practical and reliable method for timely and accurate diagnosis of bladder rupture. Methods: Bladder catheterization test, cystography, B ultrasound and CT abdominal examination were performed on 41 patients with ruptured bladder. Results: 41 cases of bladder perfusion test, positive 24 cases, the positive rate of 5 8 5 4%, combined with gas injection test in 31 cases, positive in 28 cases, the positive rate of 90 32%; 21 cases of cystography, 21 cases The positive rate was 100%. B-ultrasound was performed in 12 cases and positive in 6 cases, with a positive rate of 50%. CT was performed in 8 cases and positive in 5 cases. The positive rate was 6250%. Conclusion: The bladder water injection test is a simple diagnostic method, but the false negative rate is high, such as combined with bladder gas injection test can improve the diagnostic rate; cystography is a simple and reliable, practical and intuitive diagnostic method; B- Check the bladder water, gas injection test negative and should not move the line X-ray examination of patients, after all, a diagnostic method; although CT can diagnose the bladder rupture, but the cost, false negative rate is high, meaningless