Abstract

PurposeProspectively to compare the sensitivity and specificity of ultrasonography(US) in the depiction of solid organ injuries in patients with blunt abdominal trauma(BAT), correlated with computed tomography(CT).Materials and MethodsWithin a period of three years, 60 patients with blunt abdominal trauma were evaluated. Male were 39 and female 21 patient, with mean age 22.7 years(range from 2 to 81 years). US were performed in all patients, CT in hemodynamical stabile patients(48pts. 80%). According M.S.Huang method, the free fluid was evaluated. Organ injury score was done according AAST and Moore.ResultsOut of 60 patients solid organ injuries had 59 patients(98%). In hemodinamicaly stabile patients, injury on the spleen had 20 cases, on liver 16, kidney 8 and pancreas in 3 cases. One case had only free fluid. Hemodinamicaly unstabile were 12 patients, were operated on after US examination.US depicted parenchymal organ injury in 51 of the 59 pts(85%), but CT in all patients. According M.S.Huang method free fluid =500ml had 22 cases, 250-500ml had 18 cases and rest of the cases had =250ml.There was no statistical significant difference between US and CT in detecting of free fluid(p = 0,2409). But there was a statistically significant difference between US and CT in detecting of solid organ injury(p = 0,0119). PurposeProspectively to compare the sensitivity and specificity of ultrasonography(US) in the depiction of solid organ injuries in patients with blunt abdominal trauma(BAT), correlated with computed tomography(CT). Prospectively to compare the sensitivity and specificity of ultrasonography(US) in the depiction of solid organ injuries in patients with blunt abdominal trauma(BAT), correlated with computed tomography(CT). Materials and MethodsWithin a period of three years, 60 patients with blunt abdominal trauma were evaluated. Male were 39 and female 21 patient, with mean age 22.7 years(range from 2 to 81 years). US were performed in all patients, CT in hemodynamical stabile patients(48pts. 80%). According M.S.Huang method, the free fluid was evaluated. Organ injury score was done according AAST and Moore. Within a period of three years, 60 patients with blunt abdominal trauma were evaluated. Male were 39 and female 21 patient, with mean age 22.7 years(range from 2 to 81 years). US were performed in all patients, CT in hemodynamical stabile patients(48pts. 80%). According M.S.Huang method, the free fluid was evaluated. Organ injury score was done according AAST and Moore. ResultsOut of 60 patients solid organ injuries had 59 patients(98%). In hemodinamicaly stabile patients, injury on the spleen had 20 cases, on liver 16, kidney 8 and pancreas in 3 cases. One case had only free fluid. Hemodinamicaly unstabile were 12 patients, were operated on after US examination.US depicted parenchymal organ injury in 51 of the 59 pts(85%), but CT in all patients. According M.S.Huang method free fluid =500ml had 22 cases, 250-500ml had 18 cases and rest of the cases had =250ml.There was no statistical significant difference between US and CT in detecting of free fluid(p = 0,2409). But there was a statistically significant difference between US and CT in detecting of solid organ injury(p = 0,0119). Out of 60 patients solid organ injuries had 59 patients(98%). In hemodinamicaly stabile patients, injury on the spleen had 20 cases, on liver 16, kidney 8 and pancreas in 3 cases. One case had only free fluid. Hemodinamicaly unstabile were 12 patients, were operated on after US examination. US depicted parenchymal organ injury in 51 of the 59 pts(85%), but CT in all patients. According M.S.Huang method free fluid =500ml had 22 cases, 250-500ml had 18 cases and rest of the cases had =250ml. There was no statistical significant difference between US and CT in detecting of free fluid(p = 0,2409). But there was a statistically significant difference between US and CT in detecting of solid organ injury(p = 0,0119).

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