Matek J, Horejs J, Krska Z, Výborný J
I. Chirurgická klinika 1 LF UK a VFN v Praze.
Rozhl Chir. 2009 Oct;88(10):586-9.
Bedside ultrasonography is a modern and progressive examinating method. During the past two decades, performing of bedside ultrasonography has repeteadly shown its clinical and economical advantages. Bedside ultrasonography appears to be cost-effective method which provides minimall patient and staff stress.
132 critically ill patients were involved, regardless of basic diagnosis and surgical procedure they undervent. In these patients both bedside USG and CT were performed in order to prove a fluid collections in one of the following anatomical locations pleural cavity, peritoneal cavity and abdominal wall. The prospective study assessed and compared sensitivity of bedside USG to CT. Results of the study should by further applied in hardly transportable critically ill, for that CT could be hazardous.
Bedside USG had comparable sensitivity to CT in fluidothrorax and abdominal wall colections detection, in some cases even more. For intraabdominal fluid USG represent less accurate method to CT, benefit of CT should be then discussed in each patient individually considering general health condition and basic diagnosis.
床旁超声检查是一种现代且先进的检查方法。在过去二十年中，床旁超声检查的应用反复展现出其临床和经济优势。床旁超声检查似乎是一种性价比高的方法，能使患者和医护人员的压力降至最低。
纳入132例重症患者，无论其基础诊断和所接受的外科手术如何。对这些患者同时进行床旁超声检查和CT检查，以证实以下解剖部位之一存在液体积聚：胸腔、腹腔和腹壁。这项前瞻性研究评估并比较了床旁超声检查与CT的敏感性。该研究结果应进一步应用于难以转运的重症患者，因为CT检查可能存在风险。
在胸腔积液和腹壁积液的检测中，床旁超声检查与CT的敏感性相当，在某些情况下甚至更高。对于腹腔内积液，超声检查相对于CT而言准确性较低，应根据每位患者的总体健康状况和基础诊断，对是否采用CT检查的益处进行个体化讨论。
