Der Einfluß der Darmsonographie auf die chirurgische Verfahrenswahl beim akuten Bauchschmerz

Autor:	U Joosten, H. P. Heistermann, G. Hohlbach, H.-W. Krawzak
Rok vydání:	2008
Předmět:	medicine.medical_specialty Ileus business.industry medicine.medical_treatment Ultrasound Diverticulitis medicine.disease Appendicitis Surgery medicine.anatomical_structure Laparotomy medicine Abdomen Radiology Nuclear Medicine and imaging Differential diagnosis business Pathological
Zdroj:	Ultraschall in der Medizin. 16:288-292
ISSN:	1438-8782 0172-4614
Popis:	UNLABELLED Differential diagnosis in patients with acute abdominal pain represents a difficult assignment in surgery involving the indication for urgent operation and the operation technique. AIM The value of sonography in diseases of the bowels for correct indication for early laparotomy was investigated. METHOD In a retrospective analysis we compared the result of sonography on 159 patients with acute abdominal pain with the first clinical assessment. RESULTS The sensitivity of this technique was found to be 38.9% for acute appendicitis, 57.1% for diverticulitis and 76.9% for obstructive ileus. The specificity ranged above 90% in each case. In consideration of more than two sonomorphological criterias for pathological alterations of the intestines the positive predictive value achieved 100%. CONCLUSION Low diagnostic sensitivity with high specificity implies the necessity to intensity routine ultrasonic investigation of the gut.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::798f93d8c5d3d4f07eee128add59bb20 https://doi.org/10.1055/s-2007-1003221 Zobrazit plný text záznamu