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

LIANG Tong; REN Jie; LIANG Qiao-rong; LIU Zhao-hong; HUANG Chun-yan

Journal of China Clinic Medical Imaging ›› 2012, Vol. 23 ›› Issue (8) : 556-558.

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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

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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.

Key words

Splenic rupture / Ultrasonography

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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