Effect of Transabdominal Ultrasound on the Diagnosis and Prognosis of Patients with Blunt Abdominal Trauma
Objective To study the effect of transabdominal ultrasound on the diagnosis and prognosis of patients with blunt abdominal trauma(BAT).Methods A total of 58 patients with BAT admitted to Zhangshu Second People's Hospital from June 2019 to June 2023 were examined by transabdominal ultrasound.The results of follow-up surgery were used as the gold standard to analyze the diagnostic efficacy(diagnostic sensitivity,specificity and accuracy)of transabdominal ultrasound for BAT.The diagnostic consistency of transabdominal ultrasound and surgery for different visceral injuries was statistically analyzed.The occurrence of shock in patients with different inferior vena cava respiratory collapse index(IVC-CI)was compared.The receiver operating characteristic curve(ROC)was used to analyze the predictive value of transabdominal ultrasound for BAT complicated with shock.Results The diagnostic sensitivity of transabdominal ultrasound for BAT was 93.33％,the specificity was 84.62％,and the accuracy was 91.38％.Kappa test showed that transabdominal ultrasound and surgery had good consistency in the diagnosis of different visceral injuries(Kappa=0.624,P＜0.05).The incidence of shock in patients with IVC-CI≥50％was higher than that in patients with IVC-CI＜50％(x2=8.605,P＜0.05).ROC curve showed that transabdominal ultrasound had a definite predictive value for BAT complicated with shock(AUC=0.825,P＜0.05).Conclusion Transabdominal ultrasound has a definite diagnostic value for BAT,and its results are in good agreement with those of surgery.It has a high predictive effect on BAT complicated with shock.
Blunt abdominal traumaTransabdominal ultrasoundShockRespiratory collapse index of inferior vena cava
万方数据
维普
