超声对腹部脏器外伤的诊断价值

目的 探讨超声在腹部脏器外伤的诊断价值.方法 回顾性分析227例超声检查并经手术证实或住院观察保守治疗的腹部外伤的临床资料并与超声检查结果进行对比分析.结果 227例患者中,224例可见腹腔内游离液性暗区(占98.7%).量少者129例(占57.6 %),肝肾、脾肾间隙、盆腔及受损伤脏器周围条状游离液性暗区;量中者60例(占26.8 %),肝肾隐窝液性暗区肝扩大到肝右叶下角,盆腔液性暗区呈片状不规则,部分有漂浮现象;量大者35例(占15.6 %),肝肾间隙、双侧膈下、盆腔内均可看见大片状游离液性暗区,全腹肠管均有飘浮征象.超声对内出血的检出率为100%,脾损伤的诊断准确率为90.1%(128/142),肝损伤为83.3%(35/42),胰腺、膀胱损伤均为50%(1/2),腹壁血肿为100%(6/6);多发脏器损伤为58.3%(7/12),胃肠道损伤13例,超声未发现损伤部位,只提示有腹腔积液,透声欠佳.结论 超声检查是诊断腹部脏器外伤的首选方法.

ULTASONIC DIAGNOSIS OF INJURY IN ABDOMINAL ORGANS

Objective To explore the ultrasonic diagnosis of injury in abdominal organs.Methods 227 cases of abdominal injury which had been confirmed by operation or had received conservative treatment underwent retrospective analysis,and the findings were contrasted with the results of ultrasonic examination.Results Of the 227 cases,224(98.7%) had free opaque dark area of liquid in abdominal area.129 cases(57.6%) had streak-like free opaque area of liquid in hepato-renal space,spleno-nephric space,and around pelvis a...