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首页> 外文期刊>International Journal of Research in Medical Sciences >A comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in tertiary care hospital
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A comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in tertiary care hospital

机译:三级医院非创伤性急性腹部急诊腹部平片与超声检查的比较研究

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Background: Acute abdomen is a loose term frequently used to describe the acute abdominal pain in a subgroup of patients who are seriously ill developing suddenly, over a period of several hours or few days. Methods: It was a prospective comparative study between abdominal plain radiography and ultrasonography in non-traumatic acute abdominal emergencies in Tertiary Care Hospital. Results: All the included patients (140) were imaged with abdominal X-rays series (AAS) and Ultrasonography (US) by different blinded radiologists without conveying results to either. Final diagnosis was made on the basis of clinical findings / laboratory or biochemical findings /radiological evaluation /therapeutic response / operative findings / histopathological examination. The entire data was collected, recorded and statistically analyzed as per objectives. GIT system was most commonly involved, in 75/140 cases (53.57%). Most common diagnoses were acute appendicitis, KUB calculus disease and acute cholecystitis seen in 32/140 (22.86%), 24/140 (17.14%) and 21 (15%) cases respectively. US supersedes Provisional clinical diagnosis and Radiographic evaluation in diagnosing acute abdominal conditions with Sensitivity, Positive Predictive Value, False positive rate, False Negative rate and Diagnostic Accuracy as 90.71, 100, 0 ,9.28 and 90.71 percent respectively. Conclusions: We concluded that Plain X rays can be used as screening modality in the diagnosis of acute abdominal emergencies; however ultrasound examination is cheaper, non-invasive, quick, reliable and highly accurate modality in diagnosing the exact cause of pain and its origin in a patient presenting with an acute abdomen and thus helps the physician or surgeon to plan the timely management.
机译:背景:急性腹部是一个宽松的术语,通常用于描述几小时或几天内突然发展为严重疾病的亚组患者的急性腹痛。方法:本研究是三级医院非腹部急性腹部紧急情况下腹部平片和超声检查的前瞻性比较研究。结果:所有入选的患者(140名)均由不同的盲法放射线医师进行了腹部X射线系列(AAS)和超声检查(US)的成像,但未传达任何结果。根据临床发现/实验室或生化发现/放射学评估/治疗反应/手术发现/组织病理学检查做出最终诊断。根据目标收集,记录和统计分析整个数据。 GIT系统最常见,占75/140例(53.57%)。最常见的诊断是分别在32/140(22.86%),24/140(17.14%)和21(15%)例中发现的急性阑尾炎,KUB结石病和急性胆囊炎。在急性腹腔疾病的诊断中,美国取代了临时临床诊断和影像学评估,敏感性,阳性预测值,假阳性率,假阴性率和诊断准确率分别为90.71%,100%,0、9.28和90.71%。结论:我们得出结论,X线平片可以作为急性腹部急诊的筛查手段。然而,超声检查是一种便宜的,无创的,快速,可靠和高度准确的方法,可用于诊断出现急腹症的患者的疼痛的确切原因及其根源,从而有助于医师或外科医生计划及时的治疗。

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