重复成像增加了在腹部创伤后高度固体器官损伤的患者中延迟伪动脉瘤的检测
Atif Jastaniah1, Lydia Mychaltchouk2, Alexandre Genest2
1Department of Surgery, Montreal General Hospital, McGill University, Montreal, Quebec, Canada.
World journal of surgery
|March 19, 2024
概括
重复的CT扫描有效地检测了高度损伤的腹部创伤患者的延迟伪动脉瘤. 通过重复计算机断层扫描 (CT) 图像进行早期检测对于管理这些可能危及生命的并发症至关重要.
科学领域:
- 创伤外科 手术 创伤外科
- 诊断成像 诊断成像 诊断成像
- 血管外科 血管外科
背景情况:
- 延迟的伪动脉瘤是腹部创伤非手术治疗的并发症.
- 对伪动脉瘤的早期检测和干预可以降低破裂风险和死亡率.
- 高度的腹部固体器官损伤需要对延迟的血管并发症进行警监测.
研究的目的:
- 评估重复计算机断层扫描 (CT) 成像在识别延迟伪动脉瘤的有效性.
- 在患有腹部固体器官损伤的患者中评估早期重复CT扫描的诊断效用.
- 为了确定在72小时内通过重复CT检测到的伪动脉瘤的发生率.
主要方法:
- 美国创伤外科协会 (AAST) 3级或更高的固体器官损伤患者的回顾性队列研究.
- 对2013-2019年蒙特利尔总医院注册数据的审查.
- 对人口统计,损伤特征,CT发现和干预措施的分析,包括后勤回归.
主要成果:
- 11.7%的患有高度腹部固体器官损伤的患者在72小时内在重复CT检测到的伪动脉瘤.
- 与未患病患者 (25.4) 相比,患有伪动脉瘤的患者 (19.5) 的平均损伤严重性得分 (ISS) 较低 (25.4).
- 大多数重复CT检测到的伪动脉瘤患者无症状.
结论:
- 在72小时内重复CT成像对于检测高度腹部创伤中延迟的伪动脉瘤是有价值的.
- 无症状的伪动脉瘤可以通过常规的重复CT监测来确定.
- 这种成像策略有助于对潜在的严重血管损伤及时进行干预.
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