CAJ | 학술논문

目的：探讨超声造影在肝脾外伤中的应用。方法60例肝脾外伤患者，先行常规超声检查，再行超声造影检查，据肝脾损伤程度分级而分别处理。结果6例常规超声显示肝或脾可疑病灶及腹盆腔积液，超声造影提示肝或脾内未见明确病灶。9例常规超声未显示可疑病灶，仅显示腹盆腔积液，超声造影提示肝或脾内明确病灶；45例常规超声与超声造影均提示肝或脾血肿病灶。与常规超声比较，超声造影检查病灶范围较大，病灶数量较多，差异有统计学意义（P＜0．05）。54例肝脾损伤患者，保守治疗23例，ICU监护＋保守治疗6例，手术治疗25例。结论超声造影在肝脾外伤的鉴别诊断和治疗中起重要作用。
목적：탐토초성조영재간비외상중적응용。방법60례간비외상환자，선행상규초성검사，재행초성조영검사，거간비손상정도분급이분별처리。결과6례상규초성현시간혹비가의병조급복분강적액，초성조영제시간혹비내미견명학병조。9례상규초성미현시가의병조，부현시복분강적액，초성조영제시간혹비내명학병조；45례상규초성여초성조영균제시간혹비혈종병조。여상규초성비교，초성조영검사병조범위교대，병조수량교다，차이유통계학의의（P＜0．05）。54례간비손상환자，보수치료23례，ICU감호＋보수치료6례，수술치료25례。결론초성조영재간비외상적감별진단화치료중기중요작용。
Objective To investigate the application of contrast-enhanced ultrasonography (CEUS) in liver and spleen trauma. Methods Sixty trauma patients including liver or spleen trauma were examined using both conventional ultrasonography (US) and CEUS. According to the level of liver and spleen injury, patients were treated respectively. Results In 6 cases, doubtful lesions and ascites were found by US, but no specific lesions in the liver or spleen were found by CEUS;In 9 cases, doubtful lesions were not found and ascites were found by US, specific lesions were found in the liver or spleen by CEUS. Hematoma lesions were found in 45 cases by two methods. Compared with US, lesion ranges and numbers examined by CEUS were larger (P<0.05). In 54 patients with liver and spleen trauma, 23 cases were expectant treatment, 6 cases were expectant treatment and cared in ICU and 25 cases required surgery. Conclusion CEUS plays an important role in the differential diagnosis and treatment of liver and spleen trauma.