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| 題 名 | High-Resolution Sonography is Useful in the Diagnosis and Management of Rib Fracture--Case Report=利用高解析度超音波診斷肋骨骨折及輔助疼痛控制--病例報告 |
|---|---|
| 作 者 | 楊琢琪; 勞萱之; 陳建全; 鄭仁坤; 林嘉祥; | 書刊名 | 疼痛醫學雜誌 |
| 卷 期 | 23:2 2013.09[民102.09] |
| 頁 次 | 頁80-84 |
| 分類號 | 416.26 |
| 關鍵詞 | 肋骨骨折; 超音波; 胸壁; 鈍傷; 癌轉移; Rib fracture; Sonography; Thoracic wall; Blunt injury; Metastasis; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:以放射線檢查診斷肋骨骨折有時是非常困難的,準確地發現肋骨骨折不但有助於止痛用藥更精準,也有助於使用其他替代的處置。個案報告:這位女性患者有乳癌的病史,在一次胸部鈍傷後便持續有胸痛的困擾,最初的放射線檢查不認為有肋骨骨折,但後來藉助高解析度超音波之輔助診斷出肋骨骨折。在超音波導引下實施骨折處注射局部止痛藥後,她的疼痛強度大幅改善。結論:超音波是一種高敏感性的診斷工具,可以發現輕微的、無位移的肋骨骨折;也具有區辨單純骨折與轉移性病灶之能力。 |
| 英文摘要 | Objective: Diagnosing rib fracture with radiography is sometimes very difficult. Accurate disclosure of rib fracture can contribute to more specific medication and other alternative managements. Case report: A female patient with the history of breast cancer bothered by persistent chest wall pain with negative finding of rib radiography, but subsequently diagnosed with rib fracture by high-resolution sonography. Her pain intensity was significantly reduced after ultrasound-guided fracture site injection of local anesthetics. Conclusion: High-resolution sonography is more sensitive in detecting rib fracture and it also possesses the capability of distinguishing between metastatic lesion and simple fracture. |
本系統中英文摘要資訊取自各篇刊載內容。