การตรวจช่องท้องด้วยอัลตราซาวนด์สามารถใช้แทนการผ่าตัดตรวจล้างช่องท้อง ในผู้ป่วยบาดเจ็บช่องท้องแบบถูกกระแทก ได้หรือไม่

บทคัดย่อ

Objectives: To evaluate effectiveness of FAST comparing against other diagnostic procedures such as: CT scans, operative findings and clinical observation. And to analyse sensitivity, specificity, positive predictive value and negative predictive value to compare against standard previously reported results of FAST and DPL.

Materials and methods: From January 2011 to December 2011, all in-patients who sustained blunt abdominal injury and received FAST were collected to record the data of gender, age, causes of accident, injured organs, results of FAST and results of other diagnostic procedures until the end of hospitalization (death or discharged).

Collected FAST results were compared against other diagnostic procedure results by using chi-square test.

Results: 359 patients were involved in this study, male : female was 280 : 79 and average age of 32.53 ± 16.78 years. Sensitivity and specificity were 90.83% and 99.58% respectively. There was no significance to compare against other diagnostic procedures (p-value = 0.424)

Conclusion: FAST is feasible diagnostic tool, provides high effectiveness and might be standard investigation for rapid screening in blunt abdominal injury.