超声造影在脾外伤保脾手术中的应用价值

梁彤; 任杰; 梁峭嵘; 刘照宏; 黄春燕

中国临床医学影像杂志 ›› 2012, Vol. 23 ›› Issue (8) : 556-558.

论著

超声造影在脾外伤保脾手术中的应用价值

梁彤1，任杰2，梁峭嵘1，刘照宏1，黄春燕1

作者信息 +

Application of contrast-enhanced ultrasound in spleen-preserving operation for splenic trauma

LIANG Tong1, REN Jie2, LIANG Qiao-rong1, LIU Zhao-hong1, HUANG Chun-yan1

Author information +

文章历史 +

摘要

目的：探讨超声造影在脾外伤保脾手术中的应用价值。方法：46例脾外伤患者行保脾手术治疗，应用常规超声与超声造影对其术前及术后进行监测。结果：46例脾外伤手术分级，Ⅱ级5例，Ⅲ级32例，Ⅳ级9例；常规超声共检出42例，漏诊4例；超声造影对46例损伤均作出诊断，其中9例可见造影剂外溢。术后常规超声发现1例腹腔积液进行性增加；超声造影发现2例并发症，1例脾动脉主干受压，1例患者术后发生感染难以控制，其脾脏术后增强体积小于原来体积的1/5。结论：超声造影能够为脾外伤保脾手术术前提供选择依据，术后进行监测和随访，对于发现并发症、伤情变化以及预后有重要作用。

Abstract

Objective: To investigate the application of contrast-enhanced ultrasound(CEUS) in operation of splenic trauma. Methods: Forty-six patients with splenic trauma underwent spleen-preserving operations. Both ultrasonography and CEUS were applied for preoperative and postoperative monitoring. Results: Forty-six patients with splenic trauma were classified as follows: 5 patients in Grade Ⅱ, 32 in Grade Ⅲ and 9 in Grade Ⅳ. Conventional ultrasound successfully detected trauma in 42 patients but failed in 4 patients; CEUS diagnosed 46 patients correctly, among which contrast agent overflow was seen in 9 cases. Postoperatively, one patient was found with progressive increase of seroperitoneum, yet two patients with complications were detected by CEUS: one patient’s splenic artery trunk was pressed, while the other suffered uncontrollable postoperative infection whose volume was less than 1/5 of the original volume after spleen surgery. Conclusions: CEUS offers preoperative basis for the spleen-preserving operation for splenic trauma and is also applied for monitoring and following-up after operation. Thus it has great significance in discovering complications, traumatic state and prognosis.

导出引用

梁彤;任杰;梁峭嵘;刘照宏;黄春燕. 超声造影在脾外伤保脾手术中的应用价值[J]. 中国临床医学影像杂志. 2012, 23(8): 556-558

LIANG Tong;REN Jie;LIANG Qiao-rong;LIU Zhao-hong;HUANG Chun-yan. Application of contrast-enhanced ultrasound in spleen-preserving operation for splenic trauma[J]. Journal of China Clinic Medical Imaging. 2012, 23(8): 556-558

中图分类号： Ｒ657.62 Ｒ445.1