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脾脏破裂的超声诊断及部分漏误诊病例原因分析
引用本文:姚显明,何茂春,李玲. 脾脏破裂的超声诊断及部分漏误诊病例原因分析[J]. 川北医学院学报, 2014, 29(3): 298-300
作者姓名:姚显明  何茂春  李玲
作者单位:姚显明 (苍溪县人民医院特检科,四川广元,628400); 何茂春 (苍溪县人民医院特检科,四川广元,628400); 李玲 (苍溪县人民医院特检科,四川广元,628400);
摘    要:目的:探讨超声诊断在脾脏破裂中的应用价值,总结经验教训,旨在提高超声诊断准确率。方法:通过对超声图像、术后病理诊断及门诊超声随访进行回顾性综合对比分析。结果:78例患者中,确诊脾脏破裂75例,超声诊断正确70例,误诊3例,漏诊2例。结论:超声对脾脏破裂具有很高诊断价值,超声随访及临床病史对减少漏误诊的发生具有重要意义。

关 键 词:超声诊断  脾脏破裂  漏诊  误诊

Ultrasound diagnosis of splenic rupture and cause analysis of some cases of misdiagnosis
YAO Xian-ming,HE Mao-chun,LI Ling. Ultrasound diagnosis of splenic rupture and cause analysis of some cases of misdiagnosis[J]. Journal of North Sichuan Medical College, 2014, 29(3): 298-300
Authors:YAO Xian-ming  HE Mao-chun  LI Ling
Affiliation:( Ultrasound Division of Cangxi People' s Hospital, Guangyuan 628400, Sichuan, China )
Abstract:Objective:To explore the value of uhrasonography in diagnosing the splenic rupture. Sum up the experiences in order to improve ultrasound diagnostic accuracy. Methods:Retrospectively and comprehensively comparatively analyze the ultrasound images, postoperative pathological diagnosis and outpatient ultrasound follow-up. Results: Splenic rupture caeses were 75, misdiagnosed 3 and missed diagnosis 2. The diagnose accordance rate of uhrasonography was 93 %. Conclusion:Ultrasound diagnosis of splenic rupture has a high value. Ultrasound follow-up and clinical history are important to reduce the occurrence of misdiagnosis and missed diagnosis.
Keywords:Ultrasound diagnosis  Splenic rupture  Misdiagnosis  Missed diagnosis
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