图像检测结果与保守管理的失败有关,后的额外腹膜膀损伤
George E Koch1, Marie-Therese Valovska2, Reno Maldonado3
1Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH.; Department of Urology, The University of Washington, Seattle, WA.
Urology
|October 2, 2024
概括
如果在延迟成像中看到对比度扩散,或者如果损伤严重 (AAST 5级),则对腹膜外膀损伤 (EBI) 的保守治疗可能会失败. 这些因素表明排水不完全,表明需要更密切的监测.
科学领域:
- 创伤外科 手术 创伤外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 腹膜外膀损伤 (EBI) 通常以保守的方式进行管理.
- 识别保守管理 (CM) 失败的风险因素对于优化患者的治疗结果至关重要.
研究的目的:
- 确定在没有并发症的外皮质膀损伤的患者中失败的保守管理的预测因素.
主要方法:
- 进行了一项对被保守管理的粗EBI患者的回顾性审查.
- 统一分析确定了与持续泄漏或延迟囊损伤相关的因素.
主要成果:
- 在84名患者中,6名 (7%) 失败了CM. 骨盆骨折和栓塞与失败无关.
- 延迟CT成像时AAST 5级损伤和对比度扩散与CM失败有显著的关联.
结论:
- 延迟成像时的对比扩散和高AAST损伤等级是EBI中CM失败的风险因素.
- 这些发现表明,在保守的管理过程中,降级前排水存在机械问题.
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