摘要
目的 评价急诊B超检查对腹腔实质性脏器损伤的诊断价值。方法 对 82例腹腔实质性脏器损伤的急诊B超检查结果与最后诊断结果进行对照分析。结果 腹腔实质性脏器损伤急诊B超检查的敏感性 93.9%、特异性 97.0 %、假阳性率 3.0 %、假阴性率 6.1%、阳性预测值 97.9%、阴性预测值 91.4%、阳性似然比 30 .98、阴性似然比 0 .0 63、诊断准确率 95 .1%、尤登指数 0 .90 9和卡帕值为 0 .90。结论 B超检查对腹部实质性脏器损伤的诊断具有较高的准确性和可靠性 ,它是腹腔实质性脏器损伤检查诊断的一种首选。
Objective To evaluate the diagnostic value of emergency B-mode ultrasonography on injury of abdominal parenchymal viscera.Method The ultrasonographic imagings of 82 patients with injury of abdominal parenchymal viscera were compared and analysed with the last diagnostic results.Results For diagnosing injury of abdominal parenchymal viscera,the sensitivity of emergency B-mode ultrasonography was 93.9%,the specificity was 97.0%,the mistake diagnostic rate was 3.0%,the omission diagnostic rate was 6.1%,the positive predictive value was 97.9%,the negative predictive value was 91.4%,the positive likelihood ratio was 30.98,the negative likelihood ratio was 0.063,the diagnostic accuracy was 95.1%,Youden's index was 0.909,and Kappa value was 0.90.Conclusions B-mode ultrasonography is of higher accuracy and reliability in diagnosis of injury of abdominal parenchymal viscera,which may be a first choice,simple and effective diagnostic technique for injury of abdominal parenchymal viscera.
出处
《现代诊断与治疗》
CAS
2003年第3期140-143,共4页
Modern Diagnosis and Treatment
