复习计算机断层扫描成像可以减少面部创伤后的非治疗转移
Connor Mamikunian1, James M Bardes, Morgan Pendelton
1From the Department of Surgery, Division of Trauma, Surgical Critical Care and Acute Care Surgery (C.M., J.M.B., K.C.C., G.S.), West Virginia University, School of Medicine (M.P.), Department of Otolaryngology (P.T., S.R., B.K.), and Department of Oculoplastics (J.N.), West Virginia University, Morgantown, West Virginia.
The journal of trauma and acute care surgery
|April 14, 2025
概括
大多数面部骨折移植不是紧急的,可以在非手术情况下进行. 远程计算机断层扫描 (CT) 评估可以减少不必要的面部创伤患者转移.
科学领域:
- 创伤外科 手术 创伤外科
- 医疗成像医学成像
- 患者转移协议 患者转移协议
背景情况:
- 面创伤带来了广泛的伤害,从轻微的骨折到严重的缺陷.
- 一些伤害需要立即手术,而另一些伤害可以进行非手术治疗.
- 在转移之前对面部创伤患者的远程评估可能会减少非治疗转移.
研究的目的:
- 评估远程计算机断层扫描 (CT) 评估对面部骨折患者的有用性.
- 确定非治疗性面部骨折移植的比例.
主要方法:
- 一项对150名面部受伤和可用的CT成像转移的成年患者的综述.
- 面部创伤外科医生评估图表和CT扫描来确定手术的必要性和时间.
- 在手术决策中对远程CT评估准确性的分析.
主要成果:
- 27%的患者需要手术,57%没有手术;16%的情况不明.
- 只有7%的外科手术病例有紧急指示 (<24小时).
- 远程CT评估在识别非手术病例和紧急手术病例方面显示出100%的准确性.
结论:
- 大多数面部骨折移植是低度的,不需要立即手术.
- 面部骨折的远程CT评估可以显著减少非治疗性转移.
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