Gün Cem, Unlüer Erden Erol, Vandenberk Nergiz, Karagöz Arif, Sentürk Güldehen Ozmen, Oyar Orhan
Department of Emergency Medicine, Izmir Katip Celebi University, Ataturk Research and Training Hospital, Basinsitesi, Izmir, Turkey.
J Emerg Trauma Shock. 2013 Jul;6(3):195-8. doi: 10.4103/0974-2700.115340.
Our objective was to study the accuracy of emergency physician (EP) performed bedside ultrasonography (BUS) in patients with suspected anterior talofibular ligament (ATFL) injury.
After a 6-h training program, from January to December 2011, an EP used BUS to prospectively evaluate patients presenting to the emergency department (ED) with suspected ATFL injury. Then, patients underwent ankle X-ray and Magnetic Resonance (MR) imaging. Outcome was determined by official radiology reports of the MR imaging. BUS and MR imaging results were compared using Chi-square testing.
Of the 65 enrolled patients, 30 patients were BUS positive. Of these, MR imaging results agreed with the BUS findings in 30 patients. In 35 cases, BUS was negative, and 33 of these were corroborated by MR imaging. The sensitivity, specificity, positive predictive value, negative predictive value, and negative likelihood ratio for BUS were 93.8%, 100%, 100%, 94.3%, and 0.06%, respectively. The diagnostic accuracy of BUS was not statistically different from MR imaging (K = 0.938, P = 0.001).
BUS for the diagnosis of ATFL injury is another application of BUS in the ED. EPs can diagnose ATFL injury using BUS with a high degree of accuracy.
我们的目的是研究急诊医生（EP）进行的床旁超声检查（BUS）在疑似距腓前韧带（ATFL）损伤患者中的准确性。
在经过6小时的培训课程后，于2011年1月至12月期间，一名急诊医生使用床旁超声检查对前来急诊科（ED）就诊的疑似距腓前韧带损伤患者进行前瞻性评估。然后，患者接受踝关节X线和磁共振（MR）成像检查。结果由磁共振成像的官方放射学报告确定。使用卡方检验比较床旁超声检查和磁共振成像的结果。
在65名登记患者中，30名患者床旁超声检查呈阳性。其中，30名患者的磁共振成像结果与床旁超声检查结果一致。在35例中，床旁超声检查为阴性，其中33例经磁共振成像证实。床旁超声检查的敏感性、特异性、阳性预测值、阴性预测值和阴性似然比分别为93.8%、100%、100%、94.3%和0.06%。床旁超声检查的诊断准确性与磁共振成像无统计学差异（K = 0.938，P = 0.001）。
床旁超声检查用于诊断距腓前韧带损伤是床旁超声检查在急诊科的另一应用。急诊医生可以使用床旁超声检查以高度准确性诊断距腓前韧带损伤。
