[小儿前臂远端骨折的超声诊断]
[Ultrasonographic diagnosis of distal pediatric forearm fractures].
作者信息
Varga Marcell, Gáti Nikolett, Kalóz Erika, Bíró Zsuzsanna, Szeverényi Csenge, Kardos Dániel, Józsa Gergő
机构信息
Baleseti Központ, Gyermektraumatológiai Osztály, Péterfy Sándor Utcai Kórház-Rendelőintézet Budapest.
Klinikai Központ, Ortopédiai Klinika, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen.
出版信息
Orv Hetil. 2017 Jun;158(24):944-948. doi: 10.1556/650.2017.30763.
INTRODUCTION AND AIM
The aim of our prospective study was to evaluate the effectivity of sonographic diagnosis of pediatric wrist fractures and analyzing the results of two pediatric musculoskeletal centers.
METHOD
Between 2011 January and 2015 December 467 children aged 0-15 with closed wrist injuries and open growth plates were sonographically and radiologically evaluated by an orthopaedic surgeon or a resident in trainee. Sonography was performed immediately after physical examination with linear probes of 7-14 Mhz frequency. Results were compared to conventional two plane wrist x-rays.
RESULTS
We found 97 sensitivity and 96 specificity of the sonographic evaluation. Fractures with dislocations and more serious clinical consequences were never missed.
CONCLUSION
Musculoskeletal ultrasound is a very effective tool in daily routine for diagnosing or excluding pediatric wrist fractures. Orv Hetil. 2017; 158(24): 944-948.
引言与目的
我们前瞻性研究的目的是评估超声诊断小儿腕部骨折的有效性，并分析两个小儿肌肉骨骼中心的结果。
方法
在2011年1月至2015年12月期间，467名年龄在0至15岁、腕部闭合性损伤且生长板开放的儿童接受了骨科医生或实习住院医生的超声和放射学评估。体格检查后立即使用频率为7 - 14兆赫的线性探头进行超声检查。结果与传统的腕部双平面X线片进行比较。
结果
我们发现超声评估的敏感性为97，特异性为96。伴有脱位及更严重临床后果的骨折从未漏诊。
结论
肌肉骨骼超声是日常诊断或排除小儿腕部骨折的非常有效的工具。《匈牙利医学周报》2017年；158(24): 944 - 948。
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