摘要
目的:探讨全面与选择性腹部超声检查对急腹症的诊断效果,评价患者对两种诊断方式的满意度。方法:选择2017年3月至2019年6月我院诊治的疑似急腹症患者146例为研究对象,所有患者均进行全面腹部超声检查和选择性腹部超声检查,比较两种检查方式的诊断符合率、敏感度、特异度、误诊率、漏诊率、超声检查时间、诊断时间、延迟诊断率、检查费用及满意度。结果:全面腹部超声检查诊断急腹症的符合率、敏感度、特异度高于选择性腹部超声,误诊率、漏诊率低于选择性腹部超声(P<0.05)。与选择性腹部超声比较,全面腹部超声检查时间较长,诊断时间较短,延迟诊断率较低,检查费用较高(P<0.05)。患者对全面腹部超声检查的满意度为97.26%,高于选择性腹部超声的71.92%(P<0.05)。结论:与选择性腹部超声检查比较,全面腹部超声检查诊断急腹症时间较长,费用较高,但在准确性、漏诊、误诊、延迟诊断、患者满意度等方面优势明显,是诊断急腹症的有效方法。
Objective: To explore the diagnostic effect of comprehensive and selective abdominal ultrasonography on acute abdomen, and to evaluate patients’ satisfaction with the two diagnostic methods. Methods: 146 patients with suspected acute abdomen diagnosed who were treated in our hospital from March 2017 to June 2019 were selected as subjects. All patients underwent comprehensive abdominal ultrasonography and selective abdominal ultrasonography. The diagnostic coincidence rate, sensitivity,specificity, misdiagnosis rate, missed diagnosis rate, ultrasound examination time and diagnostic time, delayed diagnosis rate, inspection cost and satisfaction of the two methods were compared. Results: The coincidence rate, sensitivity and specificity of comprehensive abdominal ultrasonography in the diagnosis of acute abdomen were higher than those of selective abdominal ultrasonography, and the misdiagnosis rate and missed diagnosis rate were lower than those of selective abdominal ultrasonography(P<0.05). Compared with selective abdominal ultrasonography, comprehensive abdominal ultrasonography had longer time, shorter diagnosis time, lower delayed diagnosis rate and higher examination cost(P<0.05). The satisfaction rate of patients with comprehensive abdominal ultrasonography was 97.26%, which was higher than 71.92% with selective abdominal ultrasonography(P<0.05). Conclusion: Comparison with selective abdominal ultrasonography, comprehensive abdominal ultrasonography has a longer time and higher cost in the diagnosis of acute abdomen, but it has obvious advantages in accuracy, missed diagnosis, misdiagnosis, delayed diagnosis and patient satisfaction. It is an effective method for the diagnosis of acute abdomen.
作者
黄泽明
瞿国萍
纪宗萍
曾福强
郑艳玲
吴旺钊
HUANG Ze-ming;QU Guo-ping;JI Zong-ping;ZENG Fu-qiang;ZHENG Yan-ling;WU Wang-zhao(Department of Ultrasonography,Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine/Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong,528400,China;Department of Ultrasonography,First Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong,510080,China)
出处
《现代生物医学进展》
CAS
2020年第15期2900-2903,共4页
Progress in Modern Biomedicine
基金
广东省科技计划项目(2016A020213128)。
关键词
急腹症
全面腹部超声
选择性腹部超声
诊断
满意度
Acute abdomen
Comprehensive abdominal ultrasonography
Selective abdominal ultrasonography
Diagnostic
Satisfaction
