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응급의학과 의사가 시행한 상복부 초음파의 정확성

Other Titles
 Accuracy of Emergency Ultrasonography for Biliary Parameters by Physicians with Limited Training 
 하영록  ;  김훈  ;  유승  ;  정성필  ;  김승환  ;  유인술 
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지), Vol.13(4) : 407-410, 2002 
Journal Title
 Journal of the Korean Society of Emergency Medicine (대한응급의학회지) 
Issue Date
Abdominal ultrasonography ; Abdominal pain
Purpose: The purpose of this study is to determine for upper abdominal pain, the accuracy of emergency abdominal ultrasonography (EAU) performed by emergency physicians with limited training. Methods: Two PGY-3 emergency physicians, who had received 2 hours of hands-on training, including the normal anatomy of a biliary system, liver, kidney, spleen, and pancreas, and who had studied the pathologic findings for another month were the subjects of this study. They used a Sonosite 180® to perform EAU on patients with upper abdominal pain within 2 months after training. We determined the agreement between the radiologist's abdominal ultrasonography (RAU) and EAU by using Kappa statistics. Results: A total of 59 patients were enrolled. The agreement between the EAU and the RAU findings was 0.97, 0.88, 0.79, 0.62, and 0.57 for gall bladder (GB) distension, cholelithiasis, GB wall thickening, duct dilatation, choledocholithiasis, and pericholecystic fluid, respectively (p<0.05). Conclusion: The results of EAU, performed by emergency physician with limited training on patients suffering from upper abdominal pain had a significant agreement with the RAU. However, more educations and cautions are warranted for diagnosing pericholecystic fluid and cholecdocholithiasis.
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1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Chung, Sung Pil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
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