急诊超声在基层医院急腹症诊断中的应用价值

目的：研究急诊超声在基层医院急腹症诊断中的临床应用价值。方法：回归性分析2009年9月～2010年9月我院纳入的150例急腹症患者。收集入院时急诊超声的检查结果及出院诊断，将两者进行分析并对比诊断符合率。结果：临床初诊结果与急诊超声诊断结果比较，差异有统计学意义（P〈0．05）。所有观察对象出院诊断时的病种分布与人院时急诊超声诊断结果比较，急诊超声正确诊断符合率（93％）显著高于临床初诊（75％），差异有高度统计学意义（χ2=-27．93，P〈0．01）。结论：急诊超声在急腹症的早期临床诊断中具有重要意义，可提高检出率，且具有操作简单，在急诊和门诊中应用方便的优势。但由于超声波自身的限制，联合应用彩色多普勒超声检查、CT检查能够进一步对急腹症作出更准确地判断。

Clinical value on acute ultrasonography of diagnosing acute abdomen in primary hospital

Objective： To study the clinical significance value on acute uhrasonography of diagnosing acute abdomen in primary hospital. Methods： The results of acute ultrasonography of 150 patients with acute abdomen were retrospectively analyzed in our hospital from September 2009 to September 2010. The disease was confirmed by surgery and pathological examination. The results of ultrasonography, clinical diagnosis and the coincidence rate were compared. Results： The result of first visit compared with the result of acute ultrasonography examination, there were significant differences in the first visit of acute uhrasonography （P〈0.05）. The accurate rate of diagnosis of acute ultrasonography （93%） was significantly higher than that of clinical first visit （75%） which showed the statistic significance （X2=27.93, P〈0.01）. Conclusion： It is significant to apply acute ultrasonography in diagnosing acute abdomen, as it can improve the examining efficiency, and has some strength Such as simplicity of operation, easy application in outpatient clinic and emergency. But according to the limitation of uhrasonography, united-application with color Doppler and multi-slice spiral CT in diagnosing acute abdomen can give much more correct and efficient diagnosis to patients.