Riesener K P, Klever P, Truong S N, Schumpelick V
Chirurgische Universitätsklinik und Poliklinik der RWTH Aachen.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:1196-8.
A prospective study of 584 consecutive patients presenting with acute abdominal pain was conducted to evaluate the role of ultrasonography as a first-line diagnostic tool for differentiating between surgical and nonsurgical diseases. The study reveals a high sensitivity and specificity for the diagnosis of diverticulitis, cholecystitis, and bowel obstruction. In acute appendicitis the method is highly specific, but the sensitivity is rather low. Taking into account the high rate of specific results, routine ultrasonography can be recommended as a screening method in patients suffering from acute abdominal pain.
对584例连续出现急性腹痛的患者进行了一项前瞻性研究，以评估超声检查作为区分外科疾病和非外科疾病的一线诊断工具的作用。该研究显示，超声检查对憩室炎、胆囊炎和肠梗阻的诊断具有较高的敏感性和特异性。对于急性阑尾炎，该方法具有高度特异性，但敏感性较低。考虑到特异性结果的高比例，常规超声检查可推荐作为急性腹痛患者的筛查方法。
