超声对腹部脏器外伤的诊断价值

目的：观察总结外伤性腹腔脏器破裂的声像图特征,为临床提供有价值的诊治依据。方法：对100例超声诊断为外伤性内脏破裂患者声像图进行观察、记录,并根据临床诊治结果进行分析。结果：100例中经超声诊断腹腔积液的100例,经手术证实98例,准确率为98%。超声诊断有95例实质性脏器（包括肝、脾、肾、胰腺）破裂,后经手术证实的有88例,准确率为92.4%;5例密切追踪观察治疗后痊愈;2例误诊。100例中5例超声诊断为空腔脏器破裂,手术证实3例,误诊2例。结论：无论是空腔脏器破裂还是实质脏器破裂,及时准确的超声诊断具有重要意义。

Ultasonic diagnosis of injury in abdominal organs

Objective： To study the ultrasonographic characteristics of abdominal traumatic visceral ruptures and try to provide information for clinical diagnosis. Methods： The uhrasonographic features of 100 cases with intra-abdominal injury were observed, recorded and analyzed. Results： Intraabdominal fluid was diagnosed in 100 cases by ultrasonography, 98 cases of them were confirmed by surgery, the detective rate of intraabdominal fluid was 98%. 95 cases were diagnosed as substantial organ ruptures, including liver, spleen, kidney and pancreas, 88 cases were confirmed by surgery, the detective accuracy of organ trauma was 92.4%; Five cases were traced, observed and cured; 2 cases were misdiagnosed. Cavitary organ trauma were found in the other 5 cases, three cases of them were confirmed by surgery and the other two was misdiagnosed. Conclusion： Ultrasound is the important way for the diagnosis and treatment of cavitary or substantial organ ruptures.