지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.97 No.1
- 발행연도
- 2019.7
- 수록면
- 36 - 40 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Traumatic diaphragmatic rupture resulting from blunt trauma is usually severe. However, it is often overlooked during initial evaluation because there are no characteristic signs and symptoms. Thus, this study aimed to determine the clinical characteristics of diaphragmatic rupture caused by blunt trauma and investigate the diagnostic usefulness of diaphragmatic height index (DHI) measured using chest radiographs.
Methods: The cohort comprised patients who were admitted due to diaphragmatic rupture from blunt trauma. Patients were divided into 2 groups; the control group comprised patients with blunt trauma who were matched for age, sex, and Injury Severity Score, while the DHI group comprised patients with diaphragmatic rupture from blunt trauma. Receiver operating characteristic curve was used to determine the cutoff value of DHI for diaphragmatic injury. The sensitivity, specificity, predictability, accuracy, and likelihood ratio of the cutoff were then determined.
Results: A total of 60 patients were confirmed to have diaphragmatic rupture. The mean DHI in patients with diaphragmatic rupture on the right and left side were both significantly different compared to that in the control group. A DHI cutoff value of >1.31 showed 71% sensitivity and 87% specificity for diagnosing right diaphragmatic rupture, while a cutoff value of <0.43 showed 87% sensitivity and 76% specificity for diagnosing left diaphragmatic rupture.
Conclusion: DHI can be useful in the diagnosis of diaphragmatic rupture. DHI as determined using chest radiographs in patients with blunt abdominal trauma, particularly in those ineligible for diagnostic work-up, may help in the diagnosis of diaphragmatic rupture.
Methods: The cohort comprised patients who were admitted due to diaphragmatic rupture from blunt trauma. Patients were divided into 2 groups; the control group comprised patients with blunt trauma who were matched for age, sex, and Injury Severity Score, while the DHI group comprised patients with diaphragmatic rupture from blunt trauma. Receiver operating characteristic curve was used to determine the cutoff value of DHI for diaphragmatic injury. The sensitivity, specificity, predictability, accuracy, and likelihood ratio of the cutoff were then determined.
Results: A total of 60 patients were confirmed to have diaphragmatic rupture. The mean DHI in patients with diaphragmatic rupture on the right and left side were both significantly different compared to that in the control group. A DHI cutoff value of >1.31 showed 71% sensitivity and 87% specificity for diagnosing right diaphragmatic rupture, while a cutoff value of <0.43 showed 87% sensitivity and 76% specificity for diagnosing left diaphragmatic rupture.
Conclusion: DHI can be useful in the diagnosis of diaphragmatic rupture. DHI as determined using chest radiographs in patients with blunt abdominal trauma, particularly in those ineligible for diagnostic work-up, may help in the diagnosis of diaphragmatic rupture.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
Hahn DM / 1990 / Tension hydropneumothorax as delayed presentation of traumatic rupture of the diaphragm / Eur J Cardiothorac Surg 4:626~627
Montresor E / 1999 / Strangulated traumatic hernia of the diaphragm. A report of two cases / Chir Ital 51:471~476
Miller L / 1984 / Management of penetrating and blunt diaphragmatic injury / J Trauma 24:403~409
Toombs BD / 1981 / Computed tomography of chest trauma / Radiology 140:733~738
Pornrattanamaneewong C / 2012 / Diaphragmatic height index : new diagnostic test for phrenic nerve dysfunction / J Neurosurg 117:890~896
Montresor E / 1999 / Strangulated traumatic hernia of the diaphragm. A report of two cases / Chir Ital 51:471~476
Miller L / 1984 / Management of penetrating and blunt diaphragmatic injury / J Trauma 24:403~409
Toombs BD / 1981 / Computed tomography of chest trauma / Radiology 140:733~738
Pornrattanamaneewong C / 2012 / Diaphragmatic height index : new diagnostic test for phrenic nerve dysfunction / J Neurosurg 117:890~896
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UCI(KEPA) : I410-ECN-0101-2019-514-000899687