对比增强超声波在固体器官中的腹部创伤引起的血管损伤中的价值:与使用血管学作为参考标准的多探测器计算机断层扫描进行比较
Jisun Lee1, Yook Kim1, Kyung Sik Yi1
1Department of Radiology, College of Medicine, Chungbuk National University, Chungbuk National University Hospital, Cheongju, Republic of Korea.
Medicine
|July 21, 2023
概括
与对比度增强的超声波 (CEUS) 和与对比度增强的多探测器计算机断层扫描 (MDCT) 准确地评估在的腹部创伤后固体器官的血管损伤. CEUS是一个快速,有效的工具,用于检测出血和指导治疗决策.
科学领域:
- 放射学 放射学是一门学科.
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
背景情况:
- 的腹部创伤经常导致固体器官的血管损伤.
- 准确及时诊断血管损伤对于患者管理至关重要.
- 对比增强多探测器计算机断层扫描 (MDCT) 是一种标准的成像方式,但对比增强超声波 (CEUS) 提供了潜在的优势.
研究的目的:
- 评估CEUS在评估来自的腹部创伤的固体器官血管损伤时的准确性.
- 为了比较CEUS与MDCT的诊断性能.
- 建立血管造影作为比较的参考标准.
主要方法:
- 对49名患有52个形腹部创伤病变的患者进行了回顾性研究.
- 所有患者都接受了CEUS,MDCT和血管造影.
- 肝脏,脏和脏的损伤是根据血管学发现进行分类的.
主要成果:
- CEUS和MDCT在检测和分类血管损伤 (例如,伪动脉瘤,活跃出血) 中表现出可比的准确性.
- 对于血液检测,CEUS显示97.44%的灵敏度和100%的特异性;MDCT显示97.44%的灵敏度和100%的特异性.
- CEUS和MDCT在接收器运行特征曲线下的高面积用于血液检测和分类.
结论:
- CEUS是一种准确和快速的成像工具,用于检测来自的腹部创伤的固体器官损伤中的出血.
- CEUS可以帮助确定是否需要通过导管进行动脉栓塞.
- 在创伤患者的MDCT之前,CEUS可以作为一种有价值的第一线成像方法.
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