CAJ | 학술논문

目的:探讨高频超声组织谐波技术及多普勒血流成像技术在四肢深度电烧伤诊疗中的应用价值.方法:2008年12月-2010年8月笔者对本科收治的15例四肢深度电烧伤患者手术前后使用超声组织谐波成像技术及多普勒血流成像技术进行全面检查,观察软组织损伤情况及范围,测量血流相关参数,判断血管损伤程度.结果:共检测患肢28条,上肢19条,下肢 9条.组织谐波技术所得到的声像图能准确显示软组织受损程度及范围,判断肌组织坏死情况.彩色多普勒及频谱多普勒技术能对血管受损情况做出准确判断,检测出7例血栓形成病例.术前超声检查结果与手术中所见一致.术后超声检查可以动态追踪软组织恢复情况并检测血管内血流动力学参数,并据此评估疗效.结论:高频超声组织谐波技术及多普勒血流成像技术应用于重度电烧伤患肢可在手术前后实时、形象、直观地显示组织、血管损伤的形态学及功能学变化,具有很高的临床应用价值.
목적:탐토고빈초성조직해파기술급다보륵혈류성상기술재사지심도전소상진료중적응용개치.방법:2008년12월-2010년8월필자대본과수치적15례사지심도전소상환자수술전후사용초성조직해파성상기술급다보륵혈류성상기술진행전면검사,관찰연조직손상정황급범위,측량혈류상관삼수,판단혈관손상정도.결과:공검측환지28조,상지19조,하지 9조.조직해파기술소득도적성상도능준학현시연조직수손정도급범위,판단기조직배사정황.채색다보륵급빈보다보륵기술능대혈관수손정황주출준학판단,검측출7례혈전형성병례.술전초성검사결과여수술중소견일치.술후초성검사가이동태추종연조직회복정황병검측혈관내혈류동역학삼수,병거차평고료효.결론:고빈초성조직해파기술급다보륵혈류성상기술응용우중도전소상환지가재수술전후실시、형상、직관지현시조직、혈관손상적형태학급공능학변화,구유흔고적림상응용개치.
Objective:To evaluate the diagnosis value of high-frequency ultrasound tissue harmonic imaging and Doppler vascular imaging techniques in the treatment of severe electrical burns in limbs.Method:From December 2008 to August 2010,fifteen patients with severe electrical burns in limbs were admitted to author’s hospital. Ultrasound tissue harmonic imaging and Doppler vascular imaging techniques were applied in the thorough ultrasonogarphy examination of their limbs pre- and post-operatively,with the special attention to the extension and damage level of suffered soft tissue and vasculars.Result:Altogether,twenty-eight limbs,nineteen upper extremities and nine lower extremities,were examined.Sonograms acquired by tissue harmonic imaging technique could precisely show the extension and damage level of suffered soft and muscular tissues. Doppler vascular imaging technique could helping identify the damage level of suffered vascular effectively. Seven cases of thrombosis were found. All these founding were consistent with the surgery results.These ultrasound techniques were also useful in the postoperative ultrasonography examinations.Conclusion:High-frequency ultrasound tissue harmonic imaging and Doppler vascular imaging techniques are useful tools in the examination of severe electrical burns patients with its real-time and vivid features.These techniques are valuable in clinical practice.