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급성 복증에서 응급초음파검사의 역할

Other Titles
 Role of Ultrasonography in Acute Abdomen 
Authors
 안지현  ;  이연희  ;  김태훈  ;  정재준  ;  유필문  ;  최영희  ;  김상준  ;  김승철  ;  조정희 
Citation
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지), Vol.15(2) : 209-214, 1996-01 
Journal Title
Journal of the Korean Society of Medical Ultrasound(대한초음파의학회지)
ISSN
 1015-7085 
Issue Date
1996-01
Keywords
Abdomen. Ultrasonography ; Acute appendicitis. Ultrasonography ; Acute cholecystitis. Ultrasonography ; Ovariantorsion ; Ultrasonography
Abstract
PURPOSE : Authors analyzed the distribution of diseases and compared ultrasonographic conclusions withconfirmed diagnoses of emergency abdominal ultrasonographies in acute abdominal conditions. We evaluated the roleof emergency abdominal ultrasonography especially in the decision of emergency operation. MATERIAL & METHODS : Inone hundred and forty five patients, emergent abdominal ultrasonography was performedn within on admission. Wecompared the sonographic conclusion with postoperative pathology and analyzed the diagnoses of medically treateddiseases. RESULTS : Twenty-eight patients undervent surgery and 117 patients were treated conservatively. Amongthe surgically treated patients, 19 patients (70.4%) were correctly diagnosed by preoperative ultrasonography.These included acute appendicitis (N = 8), acute cholecystitis (n = 7), ovarian cyst torsion (n = 2), and liverabscess (n = 1). Correct preoperative diagnosis was not made in 9 patients, including acute appendicitis (n = 4),peritonitis due to bowel perforation (n = 2), ectopic pregnancy (n = 1), colonic diverticulitis (n = 1 ) andpelvic inflammatory disease (n = 1 ). Clinical follow up was possible in 50 patients among the non-operativepatient group, and the clinical diagnoses were chronic liver disease (n = 14), acute pyelonephritis (n = 10), andbiliary stone (n = 10). CONCLUSION : Emergent ultrasonography plays an important role in acute abdominalconditions by supporting the differential diagnosis of medical and surgical disease.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Chung, Jae Joon(정재준) ORCID logo https://orcid.org/0000-0002-7447-1193
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183143
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