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頁籤選單縮合
題 名 | Accuracy of Emergency Ultrasound Performed by Surgeons in the Evaluation of Blunt Abdominal Trauma=外科醫師操作超音波診斷腹部創傷之準確性 |
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作 者 | 施信嶔; 林裕冠; 柯敦仁; 吳哲侃; 蘇正熙; 李建賢; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:2 民87.03-04 |
頁 次 | 頁97-102 |
分類號 | 416.13 |
關鍵詞 | 外科醫師; 超音波診斷; 腹部創傷; Ultrasound; Computed tomography; Blunt abdominal trauma; |
語 文 | 英文(English) |
中文摘要 | 背景:為評估由外科醫師操作超音波診斷腹部創傷之準確性。 方法:於壹年的時間完成前瞻性之研究,於此期間所有懷疑有腹部創傷之病人皆於急診 室接受超音波檢查,超音波之準確性則由電腦斷層之發現,手術之發現,和臨床追蹤予以評 估。 結果:總共有170位病人,利用超音波評估腹膜腔內創傷,其敏感度為95.6% (43.45), 特異性為97.6% (122/125),正預測值93.4% (43/46),負預測值98.3% (122/124),總準確度為 97.0% (165/170)。利用超音波評估後腹膜腔創傷,其敏感度為76.9% (20/26),特異性為100% (144/144),正預測值100% (20/20),負預測值96% (144/150),總準確度為96.5% (165/170), 有意義的假陰性發現,包括兩個腹膜腔內腸破裂和一個後腹膜腔十二指腸破裂。 結論:由外科醫師利用超音波作為腹膜腔內創傷之初步篩選具有高敏感度,然而超音波 有可能診腸道破裂且對於腹膜腔後創傷敏感度不高,但利用後續的高度臨床懷疑或電腦斷層 予以補助。 |
英文摘要 | To evaluate the accuracy of ultrasound (US) performed by trauma surgeons in the evaluation of blunt abdominal trauma (BAT), a prospective study was performed over one year. All patients suspected to have BAT were evaluated initially with ultrasound at emergency room. The accuracy of US was evaluated according to the results of CT scan findings, operative findings and clinical follow-up. During a study period of one year, 170 patients were enrolled in our study. In the prediction of intraperitoneal injury by US, sensitivity was 95.6% (43/45), specificity was 97.6% (122/125), positive predictive value was 93.4% (43/46), negative predictive value was 98.3% (122/124), and total accuracy was 97.0% (165/170). For the retroperitoneal injury, the sensitivity was 76.9% (20/26), specificity was 100% (144/144), positive predictive value was 100% (20/20), negative predictive value was 96% (144/150), total accuracy was 96.5% (164/170). The significant false negative findings by US were two intraperitoneal bowel injuries and one retroperitoneal duodenal injury, which were diagnosed by subsequent CT scan. Using US as a screening modality by surgeons, the accuracy is high for the initial evaluation of intraperitoneal lesion. However, missing diagnosis of bowel injury was possible and the sensitivity for detecting retroperitoneal injury was relatively low, which can be complemented by high clinical suspicion and subsequent CT scan. |
本系統中英文摘要資訊取自各篇刊載內容。