• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Prehospital emergency care >The accuracy of portable ultrasonography to diagnose fractures in an austere environment.
【24h】

The accuracy of portable ultrasonography to diagnose fractures in an austere environment.

机译：便携式超声检查在严峻环境中诊断骨折的准确性。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Previous literature has shown the ability of ultrasonography technology to accurately assess orthopedic pathology. Over the past two decades, the use of ultrasound in the prehospital setting has become an important tool for triage, diagnosis, and treatment, especially in austere and remote environments that lack appropriate radiography capability and logistical support. The purpose of our study was to assess the accuracy of ultrasound in the austere, combat environment for diagnosis of orthopedic fracture. METHODS: We conducted a longitudinal, prospective, observational study on patients presenting with suspected closed fractures using a digital handheld ultrasound device. All patients presenting with suspected fracture underwent an ultrasound examination by a board-certified emergency medicine physician credentialed in emergency ultrasonography. Patients were then categorized into ultrasound-positive and ultrasound-negative groups. RESULTS: A total of 44 subjects underwent ultrasound examination for suspected fractures. There were initially 12 (27%) positive and 32 (73%) negative scans. Of the initial 12 positive scans, ten had a true fracture verified by plain radiography. Ultrasonography yielded an overall sensitivity of 100% and a specificity of 94%. Only four patients with an initial negative ultrasound scan continued to have clinical symptoms for more than three days and were found to have no evidence of fracture by radiograph. CONCLUSIONS: Our data show that use of ultrasound by an experienced clinician in the austere environment can be performed accurately and can possibly prevent unnecessary evacuations for suspected fractures requiring radiographic verification. The purpose of our study was to assess the accuracy of ultrasound examination in the austere, combat environment for diagnosis of orthopedic fracture.
机译：背景技术：先前的文献显示了超声技术能够准确评估骨科病理学的能力。在过去的二十年中，在院前环境中使用超声波已经成为进行分类，诊断和治疗的重要工具，尤其是在缺乏适当的放射成像能力和后勤支持的严峻和偏远的环境中。我们研究的目的是评估在严峻的战斗环境中进行超声诊断骨科骨折的准确性。方法：我们使用数字手持超声设备对怀疑患有闭合性骨折的患者进行了纵向，前瞻性和观察性研究。所有表现出可疑骨折的患者均由获得急诊超声检查资格的董事会认证急诊医学医师进行超声检查。然后将患者分为超声阳性和超声阴性组。结果：总共44名受试者接受了超声检查，怀疑有骨折。最初有12次（27％）阳性扫描和32次（73％）阴性扫描。在最初的12次阳性扫描中，有10次经平片检查证实为真正的骨折。超声检查的总灵敏度为100％，特异性为94％。最初超声扫描阴性的四名患者继续表现出超过三天的临床症状，并且通过放射线照相没有发现骨折的迹象。结论：我们的数据表明，由经验丰富的临床医生在严峻的环境中使用超声波可以准确地进行，并且可以防止需要放射线检查的可疑骨折的不必要的撤离。我们研究的目的是评估在严峻的战斗环境中进行超声检查以诊断骨科骨折的准确性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号