| 李文秀,唐杰,吕发勤,张惠琴,罗渝昆,汪伟,黎檀实.超声造影引导肝脾脏外伤的微创止血治疗[J].中国医学影像技术,2008,24(6):908~911 |
| 超声造影引导肝脾脏外伤的微创止血治疗 |
| Minimally invasive hemostasis therapy for hepatic and splenic trauma under the guidance of contrast-enhanced ultrasonography |
| 投稿时间：2007-12-28 修订日期：2008-01-14 |
| DOI： |
| 中文关键词: 超声检查,介入性 创伤和损伤 微创治疗 止血剂 |
| 英文关键词:Ultrasonography, interventional Wounds and injuries Minimally invasive therapy Hemostatic agent |
| 基金项目:本课题受全军医药卫生科研基金(06G108)资助。 |
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| 中文摘要: |
| 目的 探讨超声造影引导肝脾脏外伤止血剂联合注射微创止血治疗的价值及临床疗效。方法 根据超声造影及CT的诊断结果,依据AAST分级标准,对损伤程度为Ⅲ~Ⅳ级,生命体征平稳的患者,行超声造影引导下微创止血治疗。结果 10例外伤病人,脾外伤6例,肝外伤4例(合并肾损伤2例);10例病人均成功在超声造影引导下进行了肝脾脏的微创止血治疗。结论 超声造影引导肝脾脏的微创止血治疗对生命体征平稳的患者可实现安全、有效的止血,无严重并发症发生。本文初步探讨了肝脾脏外伤微创治疗的新方法。 |
| 英文摘要: |
| Objective To study the clinic effect of a minimally invasive technique in treatment of hepatic and splenic trauma under the guidance of contrast enhanced ultrasound (CEUS). Methods According to the findings of CEUS and CT, and AAST criteria, the patients of Grade Ⅲ－Ⅳ with stable vital sign received the mini-invasive hemostasis therapy under the guidance of CEUS. Results Controlling hemorrhage was completed in 10 patients after minimally invasive therapy, including 6 splenic injuries, 4 hepatic injuries complicating 2 renal injuries. Conclusion This modality of minimally invasion was reliable, safe and effective without severe complications for stable vital signs patients. This study initially explores a new treatment method for hepatic and splenic trauma. |
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