Comparison of ultrasonography and computed tomography in the determination of traumatic thoracic injuries
Comparison of ultrasonography and computed tomography in the determination of traumatic thoracic injuries
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DOI：
10.1016/j.ajem.2018.08.002
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发表时间：
2019-05-01
影响因子：
3.6
通讯作者：
Karakoyun, Omer F.
中科院分区：
文献类型：
--
作者：
Kozaci, Nalan;Avci, Mustafa;Karakoyun, Omer F.
目的：在这项研究中，床旁胸部超声检查（TUSG）的准确性进行了比较，由急诊医生与病人在仰卧位胸部计算机断层扫描（TCT）的胸部损伤的决心，由于traumatic.Methods：患者遭受的多发性创伤，其胸部创伤的体格检查或TCT成像被确定在研究中。在管理创伤患者的急诊医生进行体格检查后进行TUSG。TUSG确定了皮下气肿、气胸、肺挫伤（PC）、血胸、心包积液和心包填塞、胸骨和锁骨骨折以及肋骨骨折。结果：81例患者纳入研究。TCT扫描显示皮下气肿16例（19.8%），气胸21例（25.9%），PC27例（33.3%），血胸20例（24.7%），胸骨锁骨骨折6例（7.4%），肋骨骨折21例（25.9%）。超声检查的灵敏度和特异性在检测以下病变时各不相同：皮下气肿（56%和95%），气胸（86%和97%），血胸（45%和98%），个人电脑（63%和91%），胸骨骨折（83%和97%），锁骨骨折（83%和100%）和肋骨骨折结论：超声对胸部损伤的诊断具有高度特异性，但敏感性中等。(C)2018爱思唯尔公司All rights reserved.
Objective: In this study, the accuracy of bedside thoracic ultrasonography (TUSG) performed by emergency physicians with patients in the supine position was compared with that of thoracic computed tomography (TCT) for the determination of thoracic injuries due to trauma.Methods: Patients who suffered the multiple traumas, whose thoracic trauma was identified on physical examination or TCT imaging were included in the study. TUSG was performed following a physical examination by the emergency physician who managed the trauma patient. Subcutaneous emphysema, pneumothorax, pulmonary contusions (PCs), hemothorax, pericardial effusion and tamponade, sternal and clavicular fractures and rib fractures were identified by TUSG. TCT imaging was performed after the ultrasonography examination was completed.Results: Eighty-one patients were included in the study. TCT scans showed subcutaneous emphysema in 16 (19.8%) patients, pneumothorax in 21 (25.9%), PCs in 27 (33.3%), hemothorax in 20 (24.7%), sternum and clavicular fractures in 6 (7.4%) and rib fractures in 21 (25.9%). The sensitivity and specificity of ultrasonography varied for detecting the following pathologies: subcutaneous emphysema (56% and 95%), pneumothorax (86% and 97%), hemothorax (45% and 98%), PCs (63% and 91%), sternal fractures (83% and 97%), clavicular fractures (83% and 100%) and rib fractures (67% and 98%), respectively.Conclusion: In conclusion, ultrasound was found to be highly specific but only moderately sensitive for the identification of thoracic injuries. (C) 2018 Elsevier Inc. All rights reserved.