EVALUATION OF ULTRASONOGRAPHY FOR THE DIAGNOSIS OF BLUNT ABDOMINAL TRAUMA AND PENETRATING WOUND

Nguyễn Hoàng Linh, Nguyễn Đức Vũ, Dương Văn Hải, Nguyễn Công Minh

Main Article Content

Abstract

Objectives: Investigate the role of ultrasound in trauma and abdominal wound diagnosis at Saigon General Hospital. Subjects and methods:The prospective study describes cross-sectional sections on all patients with surgical trauma or abdominal wounds at the General Surgery Department of Saigon General Hospital from January 1, 2019 to December 31, 2020. Results: A total of 96 cases of trauma or abdominal injuries were diagnosed and operated. Ultrasound to detect free fluid in the bulb, sensitivity 89.68%, specificity 66.67%. Ultrasound to determine the hollow organ rupture with sensitivity 81.5%, specificity 95.67%. In the visceral solid, ultrasound has accuracy: 90.6%. Conclusion: Injuries and abdominal injuries are surgical emergencies. Early diagnosis, appropriate treatment attitude helps to reduce mortality. Focused ultrasound is the primary diagnostic method of choice for the investigation of intra-abdominal damage. The sensitivity and accuracy of ultrasound in diagnosis of abdominal injuries and wounds is quite high.

Article Details

References

1. Phạm Hòa Anh (2000), Giá trị chẩn đoán của siêu âm trong chấn thương bụng kín. Luận văn Thạc sĩ y khoa. Trường Đại học Y dược TP.HCM.
2. Boulanger B.R (1996), Emergent abdominal sonography as creening test in a new diagnosis algorithm for blunt trauma, J Trauma Jun, 40(6): 867-74.
3. Lê Tư Hoàng (2004), Chẩn đoán và xử trí chấn thương bụng kín tại Bệnh viện Việt Đức 2001-2003, Ngoại khoa, số 5, tr 11-17.
4. Ingerman J.F. (1996), Emergency phýsicians use ultrasonography in blunt abdominal trauma. Acad Emerg Med. 3(10), p 931-937.
5. Huỳnh Trung Lập (2007), Giá trị của siêu âm trong chẩn đoán chấn thương bụng kín. Luận văn Chuyên khoa II. Trường Đại học Y dược TP.HCM.
6. Lui M. (1993), Prospective comparison of diagnosis peritoneal lavage, computed tomography scanning and ultrasonography for the diagnosis of blunt abdominal trauma. J Trauma Aug, 35(2): 267-70.
7. Mc Kenney G. (1998), Can surgeons evaluate emergency ultrasound scan for blunt abdominal trauma. J Trauma Nov, 44(4): 649-53.
8. Michihiro S. (2004), Reevaluation of ultrasonography for solid organ ịnjury in blunt abdominal trauma. Acad Emerg Med. 9(10), p 68-70.