IMAGE DIAGNOSIS OF RIB FRACTURE IN THE HEMODYNAMICALLY STABLE PATIENTS WITH BLUNT CHEST TRAUMA

Trung Thi Lê1,, Thụy Đoan Trâm Hoàng2, Thị Trang Bông2, Hữu Hầu Châu 2
1 Nhat Tan hospital
2 Nhat Tam hospital

Main Article Content

Abstract

Objectives: Compare the detection level of 3 imaging techniques in the diagnosis of rib fracture in hemodynamically stable patients with blunt chest trauma. Subjects and methods: A prospective descriptive study, using imaging techniques such as X-ray, ultrasound and computed tomography to diagnose the rib fractures in 40 adults with blunt chest trauma without hemodynamic damhage, was examined at Nhat Tan Hospital, Chau Doc city, An Giang province. Results: When all 3 imaging techniques are applied in parallel, CT results are taken as the gold standard for rib fracture diagnosis, compared with X-ray and ultrasound. The results showed that X-ray detection was only 54.4% (p<0.001) and ultrasound was 93.3% (p>0.05) compared to CT results (100%). Conclusion: CT technique has the highest detection value in diagnosing fractures in patients with blunt chest trauma without hemodynamic damage, followed by ultrasound and finally X-ray. However, the choice of technique in diagnosis depends on the patient's reality, financial ability and health insurance as well as equipment of the hospital facility.

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References

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