Application Value of Combined Examination of Superficial Ultrasonography and Abdominal Ultrasonography in Clinical Diagnosis of Acute Abdomen
Objective:To study the application value of combined superficial ultrasonography and abdominal ultrasonography in the clinical diagnosis of acute abdomen. Methods:A total of 189 patients with acute abdomen admitted to Putian Hanjiang Hospital from April 2021 to April 2023 were selected. All patients underwent Superficial ultrasound (SU) and abdominal ultrasonoply (AU),and the pathological results were taken as the gold standard. We conducted a comprehensive analysis to assess performance measures such as sensitivity,specificity,accuracy,positive predictive value,negative predictive value,and etiological diagnostic accuracy for each of the three groups-SU group,AU group,and combined SU+AU group. Results:The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of the SU group were 86.67％,55.56％,85.19％,97.50％,and 17.24％,respectively;The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of the AU group were 81.67％,66.67％,80.95％,98.00％,and 15.38％,respectively;The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of the SU+AU group were 97.22％,77.78％,96.30％,98.87％,and 58.33％,respectively. There was no statistically significant difference between SU group and AU group (P>0.05),measured levels of sensitivity,specificity,accuracy,and negative predictive efficacy for the SU+AU subset significantly exceeded those observed in the SU segment (P<0.05),and the positive predictive value was not statistically significant between SU group and SU group (P>0.05). The sensitivity,accuracy and negative predictive value of SU+AU group were higher than those of AU group (P<0.05),but there was no significant difference in specificity and positive predictive value between SU+AU group and AU group (P>0.05). Conclusion:The combined examination of superficial ultrasound and abdominal ultrasound in patients with acute abdomen can effectively improve the detection rate of acute abdomen and provide evidence for clinical treatment.
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维普
