全面腹部超声检查在急腹症诊断中的临床应用价值

摘要

Objective To analyze the clinical therapeutic effects of comprehensive abdominal ultrasound examination in the patients with acute abdomen. Methods One hundred and eighty patients with acute abdomen in our hospital from June 2014 to December 2015 were selected and randomly divided into the control group and observation group ,90 cases in each group. The patients in the control group conducted the examination by adopting abdominal ultrasound mode ,while the patients in the observa-tion group adopted the comprehensive abdominal ultrasound mode for conducting examination. The clinical pathological diagnosis results served as the golden standard. The clinical diagnosis time ,abdominal ultrasound examination time and diagnosis coinci-dence rate of clinical cases were compared between the two groups. Results The clinical diagnosis time in the observation group was significantly superior to that in the control group,the difference was statistically significant(P<0.05);the diagnosis coincidence rate of clinical cases in the observation group was 96.7%(87/90),which was significantly superior to 86.7%in the control group, the difference was statistically significant(P<0.05). Conclusion Although adopting the comprehensive abdominal ultrasound ex-amination in the patients with acute abdomen has longer examination time ,but effectively shortens the time of patient′s clinical di-agnosis,obviously increases the coincidence of diagnosis and fault,significantly decreases the occurrence rate of examinations such as X-ray and CT and occurrence rate of delayed diagnosis ,conduces to the diagnosis of acute abdomen ,has better clinical curative effect and is worth clinical promotion.%目的：分析全面腹部超声检查对急腹症患者的临床治疗效果。方法选取2014年6月至2015年12月该院收治的急腹症患者180例，将其分为对照组和观察组，各90例。对照组患者采用腹部超声的方式进行检查，观察组患者采用全面腹部超声的方式进行检查。以临床病理诊断结果为金标准，比较两组患者的临床诊断时间、腹部超声检查时间和临床病例诊断的符合率。结果观察组患者的临床诊断时间均明显短于对照组，差异有统计学意义（P<0.05）；观察组患者临床病例诊断符合率[96.7%（87/90）]明显优于对照组[86.7%（78/90）]，差异有统计学意义（P<0.05）。结论采用全面腹部超声检查，虽然检查时间较长，但有效缩短了患者的临床诊断时间，使诊断及故障的符合率得到明显提升，使X射线、CT等检查的发生率和延迟诊断发生率明显降低，利于急腹症的诊断，临床治疗效果好，值得临床推广。