ĐÁNH GIÁ BƯỚC ĐẦU ÁP DỤNG SIÊU ÂM TRONG CHẨN ĐOÁN GÃY XƯƠNG TẠI TRUNG TÂM Y TẾ HUYỆN XUÂN LỘC TỪ THÁNG 04/2016 ĐẾN THÁNG 09/2017

Abstract

Research objectives: To evaluate the results of ultrasound in diagnosing difficult-to-detect fractures such as rib fractures, cartilage lesions, subperiosteal fractures; To evaluate the effectiveness of ultrasound in plaster casts; To evaluate the effectiveness of ultrasound in cases with limited X-ray indications such as young children, pregnant women, requiring multiple X-rays in a short period of time. Methods: To study patients with absolute or relative contraindications to X-rays (pregnant women, infants, the elderly, people with limited mobility); Patients who had no lesions detected after X-rays that did not match clinical symptoms; patients with fractures treated with conservative treatment at the Department of General Surgery, Xuan Loc District Medical Center from April 2016 to the end of September 2017. Results: There were 46 cases of rib fractures accounting for 70%, 12 cases of costochondral detachment accounting for 18% and 08 cases of distal radius fractures accounting for 12%. Of the 66 cases, there were 04 cases of contraindications due to pregnancy. There were 04 cases of pregnant patients, but X-rays were still indicated. There were 36 cases that were not detected on X-rays but were detected on ultrasound accounting for 85.71% and there were 06 cases that were negative on ultrasound accounting for 14.29%. In 12 cases clinically diagnosed with costochondral detachment, X-ray results did not detect lesions. On ultrasound, there were 07 cases of clearly showing rib cartilage detachment. The rate of disease detection on ultrasound was 91% (60/66 cases). Conclusion: Applying ultrasound in the diagnosis and treatment of fractures is an effective means of examination and diagnosis and early detection of cases of rib cartilage and rib fractures, contributing to the full diagnosis of closed chest trauma cases with suspected bone and rib cartilage damage, which other means such as X-ray and CT may miss.