Wang Huiying, Liao Pingchuan
Emergency Medicine Center, the First Hospital of Shanxi Medical University, Taiyuan, 030001, China.
BMC Surg. 2025 Apr 16;25(1):160. doi: 10.1186/s12893-025-02903-y.
The clinical value of ultrasound findings of free fluid in non-traumatic acute abdomen evaluation is under scrutiny. This study aimed to evaluate whether ultrasound findings of free fluid can be used to assess the effusion volume in a non-traumatic acute abdomen by comparing the ultrasound-estimated effusion volume with the effusion volume determined at surgery and evaluating ultrasound-guided drainage tube placement.
This prospective case series study enrolled patients with non-traumatic acute abdomen from the Hospital between January 2021 and September 2021. The volumes of pelvic and peritoneal effusion, as estimated by ultrasound findings of free fluid, were compared with the actual volumes observed during subsequent surgery.
Eighty-six patients underwent surgery within 7 h after ultrasound findings of free fluid. The effusion volume matching rates were 62.5%, 65.2%, 22.2%, and 3.0% for pelvic and peritoneal effusion within 0-2, 2-4, 4-6, and 6-7 h after ultrasound findings of free fluid. Successful abdominocentesis was achieved in all patients. Ultrasound findings of free fluid could effectively guide drainage tube placement and monitor the condition of 68 patients.
This study suggests that ultrasound findings of free fluid may be an option for assessing non-traumatic acute abdomen and to guide surgical drain placement in emergency departments.
not applicable.
在非创伤性急腹症评估中，超声检查发现游离液体的临床价值受到审视。本研究旨在通过比较超声估计的积液量与手术确定的积液量，并评估超声引导下引流管放置情况，来评估游离液体的超声检查结果是否可用于评估非创伤性急腹症中的积液量。
本前瞻性病例系列研究纳入了2021年1月至2021年9月期间来自该医院的非创伤性急腹症患者。将超声检查发现游离液体所估计的盆腔和腹腔积液量与后续手术中观察到的实际积液量进行比较。
86例患者在超声检查发现游离液体后的7小时内接受了手术。在超声检查发现游离液体后的0 - 2、2 - 4、4 - 6和6 - 7小时内，盆腔和腹腔积液的积液量匹配率分别为62.5%、65.2%、22.2%和3.0%。所有患者均成功进行了腹腔穿刺。游离液体的超声检查结果可有效指导68例患者的引流管放置并监测病情。
本研究表明，游离液体的超声检查结果可能是评估非创伤性急腹症以及指导急诊科手术引流管放置的一种选择。
不适用。
