摘要
目的:探讨彩色多普勒超声对钝性腹部创伤(BAT)致内脏破裂出血的诊断价值。方法:选择2020年2月-2021年12月就诊于某院超声科的98例BAT患者,均接受彩色多普勒超声检查。以随访或手术结果为金标准,分析彩色多普勒超声对BAT致内脏破裂出血检出率。结果:98例患者经随访或手术证实共存在脏器破裂出血118个,其中脾破裂58个(49.15%),肝破裂35个(29.66%),胰腺破裂2个(1.69%),肾破裂15个(12.71%),膀胱破裂2个(1.69%),小肠破裂6个(5.08%);经彩色多普勒超声检查显示BAT致内脏破裂出血96个(81.36%),其中检出率最高的为膀胱破裂,为100.00%,其次为肝破裂,检出率为91.43%,检出率最低的为小肠破裂,均未被检出,漏诊9个(7.63%),未明确具体脏器破裂13个(11.02%),检查提示为盆腹腔积液。结论:彩色多普勒超声可准确诊断BAT致内脏破裂出血,为临床治疗提供参考。
Objective:To investigate the diagnostic value of color Doppler ultrasound in visceral rupture and hemorrhage caused by blunt abdominal trauma(BAT).Methods:A total of 98 patients with BAT who were admitted to a hospital from February 2020 to December 2021 were selected and received color Doppler ultrasound examination.Taking follow-up or surgical results as the gold standard,the detection rate of BAT-induced visceral rupture and hemorrhage by color Doppler ultrasound was analyzed.Results:A total of 118 visceral ruptures were confirmed by follow-up or surgery in 98 patients,including 58 ruptures of the spleen(49.15%),35 ruptures of the liver(29.66%),2 ruptures of the pancreas(1.69%),and 15 ruptures of the kidneys.(12.71%),2 bladder ruptures(1.69%),and 6 small bowel ruptures(5.08%);Color Doppler ultrasound showed 96(81.36%)visceral ruptures and hemorrhage caused by BAT,of which the highest detection rate was Bladder rupture was 100.00%,followed by liver rupture with the detection rate of 91.43%.The lowest detection rate was small bowel rupture,none of which was detected,9 cases were missed(7.63%),and 13 cases were unspecified organ ruptures(11.02%),the examination suggested pelvic ascites.Conclusion:Color Doppler ultrasound can accurately diagnose visceral rupture and hemorrhage caused by BAT,and provide reference for clinical treatment.
作者
樊华
Fan Hua(Department of Ultrasound Diagnosis,Xiqing Hospital,Tianjin 300380)
出处
《数理医药学杂志》
CAS
2022年第6期815-817,共3页
Journal of Mathematical Medicine
关键词
钝性腹部创伤
彩色多普勒超声
内脏破裂出血
诊断
blunt abdominal trauma
color Doppler ultrasound
visceral rupture and hemorrhage
diagnosis
