血液部位的动态变化:在骨盆骨折中评估计算机断层扫描和血管扫描上的对比扩散
Fumi Inamasu1, Shokei Matsumoto, Satomi Senoo
1From the Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.
The journal of trauma and acute care surgery
|December 2, 2024
概括
在CECT上的对比扩散可能无法准确地确定骨盆骨折中的活跃出血. 血管造影的结果往往不同,这突出了在血管造影期间评估盆腔动脉两侧的必要性.
科学领域:
- 放射学 放射学是一门学科.
- 创伤外科 手术 创伤外科
- 血管成像 血管成像
背景情况:
- 在CECT上的对比扩张表明骨盆骨折中的活跃出血.
- 在这些患者中,诊断血管造影 (AG) 的发现可能与CECT不同.
研究的目的:
- 评估CECT红斑和AG发现之间的一致率.
- 根据盆腔解剖位置来评估一致性.
主要方法:
- 在CECT后接受AG的87名骨盆骨折患者 (2015-2023) 的回顾性研究.
- 盆腔出血区域按前/后内动脉进行分类.
- 使用k统计学来评估一致性.
主要成果:
- 总体一致性为每位患者的83%,每位解剖区域的53%.
- 当通过解剖学半头骨评估时,一致性明显较低 (p < 0.001).
- 33%的单侧CECT红斑患者在AG上出现了新的对侧红斑.
结论:
- 主动出血位置在CECT和AG之间经常有所不同.
- 流血可能是间歇性的,并发生在不同的位置.
- 在AG期间评估骨盆动脉两侧,而不仅仅依赖CECT.
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