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    • 扩展创伤重点超声评估技术在腹部闭合性创伤患者检查中的应用研究

    李峰,刘颖,陈建荣,顾鹏

    Practical Journal of Clinical Medicine（2021）

    Cited 3|Views13
    Abstract
    目的 探讨扩展创伤重点超声评估技术(EFAST)在腹部闭合性创伤患者检查中的应用价值.方法 回顾性分析2017年2月至2018年2月医院腹部闭合性创伤患者156例病历及影像资料,所有患者均行EFAST、CT检查.以手术结果为金标准,比较EFAST、CT、EFAST+CT三种方法诊断效能、检查时间及费用.结果 156例患者中,共计检查780个结果.手术结果显示216例脏器损伤:脾损伤86例,肝损伤37例,肾脏损伤53例,腹膜血肿22例,胰腺损伤18例.EFAST检出阳性164例,阴性546例;CT检出阳性185例,阴性554例;EFAST+CT检出阳性200例,阴性560例.CT检测灵敏度、准确度高于EFAST;EFAST+CT灵敏度、特异度、准确度、阳性预测值、阴性预测值高于EFAST,灵敏度、准确度、阴性预测值高于CT,差异均有统计学意义(P<0.05).FAST检查时间短于CT,检查费用低于CT,差异均有统计学意义(P<0.01).结论 EFAST较CT而言,具有检查时间短、费用低、诊断效能较高的特点,可用于腹部闭合性创伤患者早期检查,联合CT检查能提高腹部闭合性创伤的诊断效能.
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