摘要
目的探讨应用超声远程遥控机器人在超声诊断疾病方面的准确性。方法连续选取2018年5-6月间志愿者42例,采用华大智造公司超声远程遥控机器人对42例志愿者的消化系统及泌尿系统进行远程超声及传统超声检查。对比得出每位志愿者的两种方法超声诊断结果并记录检查时间;并将两种方法的超声图像混编在一起,由两位高年资医生对图像质量进行双盲评分。结果42例志愿者实际共有25个阳性病灶,两种方法超声检查中,机器人法共检出阳性22个,其中错误5个,包括4个漏诊胆囊小息肉,1个正常肝脏误诊为肝内胆管结石;传统方法共检出阳性24个,其中错误1个,为1个漏诊胆囊小息肉。运用配对样本比较的Wilcoxon符号秩检验研究机器人法及传统方法的超声图像质量是否相同,机器人法所得分数为4.79±0.57,传统方法所得分数为4.81±0.54,差异无统计学意义(Z=0.775,P=0.439);运用四格表资料的χ2检验对比机器人法与传统方法的图像质量差异均无统计学意义(P>0.05);运用配对t检验统计两种方法检查均诊断阴性病例的志愿者所需时间,机器人法为(8.64±2.95)min,传统方法为(2.55±0.74)min,两者之间差异有统计学意义(t=15.161,P=0.000)。结论超声远程遥控机器人诊断常规疾病及获取的图像质量与传统超声有较高的相关性和诊断价值,可应用于偏远地区或社区医疗远程实时诊断疾病。
Objective To explore the accuracy of ultrasonic diagnosis using the tele-ultrasound robot system. Methods During the period from May to June 2018,42 volunteers were consecutive selected to participate in this study,and their digestive system and urinary system were examined using the robot method manufactured by GI Tech Co.,Ltd,Shenzhen and the traditional method.The results including the ultrasound diagnosis and the inspection time of two methods in each patient were compared.The ultrasonographic diagnosis of each volunteer was obtained by two methods and the time was recorded.The ultrasound images of the two methods were mixed together,and the quality of the images was evaluated double-blindly by two senior doctors. Results There were actually 25 positive lesions in 42 volunteers.In the ultrasonic diagnosis of the two methods,22 lesions were positive detected by robot method,with 5 lesions misdiagnosed.In the traditional method,24 lesions were positive detected,with 1 lesions misdiagnosed.Using the Wilcoxon signed rank test of paired sample comparison,the score obtained by the robot method was 4.79±0.57,and the score obtained by the traditional method was 4.81±0.54(Z=0.775,P=0.439),the difference was not statistically significant.There was no statistically significant difference in the images′ qulity between the robot method and the traditional method using the chi-square test of the four-grid data(P>0.05).The check time for volunteers with negative result was (8.64±2.95)min in robotic method and (2.55±0.74)min in the traditional method,the difference was statistically significant (t=15.161,P=0.000). Conclusions The robot method has high value in common disease diagnosis and high quality in image acquisition,and can be used in real-time diagnosis of the remote areas or community medical.
作者
刘延花
张元吉
李梅
熊奕
刘健
伍利
熊麟霏
姚涛
王景
Liu Yanhua;Zhang Yuanji;Li Mei;Xiong Yi;Liu Jian;Wu Li;Xiong Linfei;Yao Tao;Wang Jing(Department of Ultrasound,Shenzhen Luohu People′s Hospital,the Third Affiliated Hospital,Shenzhen University,Shenzhen 518020,China;GI Tech Co.,Ltd,Shenzhen 518000,China)
出处
《中华超声影像学杂志》
CSCD
北大核心
2019年第1期66-70,共5页
Chinese Journal of Ultrasonography
关键词
超声检查
远程会诊
远程医学
机器人超声
Ultrasonography
Remote consultation
Telemedicine
Tele-ultrasound Robot System
