5G远程机器人超声诊断急腹症

目的 观察5G远程机器人超声诊断急腹症的价值。方法 回顾性分析44例于永兴岛接受5G远程机器人超声检查的急腹症患者，以专家复诊结果、其他影像学检查（X线、CT、MRI等）及随访结果作为参考诊断标准，评估5G远程机器人超声诊断的准确性，分析医师5G远程机器人超声操作经验对检查时长的影响，观察其诊断效能。结果 每例患者远程超声检查时间为10~27 min，平均（17.91±3.99） min。根据参考标准，44例中，阳性39例、阴性5例；5G远程机器人超声检出阳性34例、阴性10例；正确诊断39例，漏诊5例，包括3例输尿管中下段结石和2例胆囊颈部结石，其诊断急腹症的准确率为88.64%（39/44），敏感度为87.18%（34/39）、特异度为100%（5/5），漏诊率为12.82%（5/39）。44例检查均由同一名医师于其具有初、中及高级操作经验时进行，分别检查18、12及14例，漏诊3、1及1例，检查时长分别为（20.83±3.38）、（17.25±2.70）及（14.71±2.87） min，三者总体比较及两两比较差异均有统计学意义（P均<0.05）。结论 5G远程机器人超声检查可在医疗资源匮乏等特殊情况下快速、实时诊断急腹症，且效能较佳。

5G robot assisted tele-ultrasound for diagnosing acute abdomen

Objective To observe the value of 5G robot assisted tele-ultrasound for diagnosing acute abdomen. Methods Data of 44 patients with acute abdomen in Yongxing island who underwent 5G robot assisted tele-ultrasound were retrospectively analyzed. Taken the subsequent visit results of experts, other imaging examinations (X-ray, CT, MRI, etc.) and follow-up as the referent diagnostic standards, the diagnostic accuracy of 5G robot assisted tele-ultrasound was evaluated. The influence of doctor''s experience of 5G robot assisted tele-ultrasound on the time spent of examination was analyzed, and the diagnostic efficacy was observed. Results The time spent of tele-ultrasound examination of each patient was 10-27 min, with an average of (17.91±3.99) min. According to referent diagnostic standards, 39 cases were positive and 5 cases were negative. 5G robot assisted tele-ultrasound diagnosed 34 positive cases, 10 negative cases but missed 5 cases, including 3 cases of middle and lower ureteral calculi and 2 cases of gallbladder neck calculi, totally correctly diagnosed 39 cases. The accuracy of 5G robot assisted tele-ultrasound for diagnosing acute abdomen was 88.64% (39/44), the sensitivity was 87.18% (34/39), the specificity was 100% (5/5), and the missed diagnosis rate was 12.82% (5/39). All 44 cases were examined by the same doctor when he had primary, intermediate and advanced experience. Respectively 18, 12 and 14 cases were examined, and 3, 1 and 1 cases were missed. The examination time was (20.83±3.38), (17.25±2.70) and (14.71±2.87) min respectively. There were significant differences in the overall comparison of the three and the comparison between the two (all P<0.05). Conclusion 5G robot assisted tele-ultrasound could quickly diagnose acute abdomen in real time under special conditions such as lack of medical resources, and its efficacy was good.