Ala Ali Reza, Pouraghaei Mahboub, Shams Vahdati Samad, Taghizadieh Ali, Moharamzadeh Payman, Arjmandi Houri
Emergency Medicine Department, Imam Reza Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, IR Iran.
Trauma Mon. 2016 Jun 13;21(4):e21122. doi: 10.5812/traumamon.21122. eCollection 2016 Sep.
Trauma is currently the fourth leading cause of death in developed countries. One of the main objectives in abdominal trauma patients is to develop a rapid and accurate diagnosis. There is a tendency to use emergency abdominal ultrasound with abdominal trauma, therefore, it is recommended in some centers as a diagnostic tool and as a primary choice in abdominal trauma.
The aim of this study was to determine the diagnostic accuracy of sonography for trauma by emergency medicine residents and radiology residents.
This was a descriptive and analytical study performed on patients with abdominal blunt trauma who referred to the emergency ward. The diagnostic accuracy of sonography for trauma by emergency medicine residents and radiology residents was evaluated.
Of the 380 patients, 296 were males and 84 were females. The mean ages of male and female patients were 34.52 ± 16.38 years and 41.19 ± 21.38 years, respectively (P = 0.009). The sonographies performed by emergency residents were positive in 46 patients, with 22 of these confirmed by CT scans. The sensitivity and specificity of the sonography by emergency residents, as confirmed by CT scans, were 78.5% and 93.2%, respectively. The sonographies performed by radiology residents were positive in 38 patients, with 24 being confirmed by CT scans.
The sensitivity and specificity of the sonography by radiology residents, as confirmed by CT scans, were 85.7% and 96%, respectively. Sonographies performed by emergency residents were positive in 46 patients with 34 of these being confirmed by sonographies by radiology residents. The sensitivity and specificity of the sonographies by emergency residents, as confirmed by sonographies by radiology residents, were 89.5% and 96.5%, respectively.
创伤目前是发达国家第四大死因。腹部创伤患者的主要目标之一是进行快速准确的诊断。腹部创伤时倾向于使用急诊腹部超声，因此，在一些中心推荐将其作为一种诊断工具以及腹部创伤的首选检查。
本研究旨在确定急诊医学住院医师和放射科住院医师对创伤进行超声检查的诊断准确性。
这是一项对转诊至急诊病房的腹部钝性创伤患者进行的描述性和分析性研究。评估了急诊医学住院医师和放射科住院医师对创伤进行超声检查的诊断准确性。
380例患者中，男性296例，女性84例。男性和女性患者的平均年龄分别为34.52±16.38岁和41.19±21.38岁（P = 0.009）。急诊住院医师进行的超声检查中有46例呈阳性，其中22例经CT扫描证实。经CT扫描证实，急诊住院医师超声检查的敏感性和特异性分别为78.5%和93.2%。放射科住院医师进行的超声检查中有38例呈阳性，其中24例经CT扫描证实。
经CT扫描证实，放射科住院医师超声检查的敏感性和特异性分别为85.7%和96%。急诊住院医师进行的超声检查中有46例呈阳性，其中34例经放射科住院医师的超声检查证实。经放射科住院医师的超声检查证实，急诊住院医师超声检查的敏感性和特异性分别为89.5%和96.5%。
