Clinical application of contrast-enhanced ultrasound in diagnosis of liver and spleen trauma
10.3760/cma j.issn.1008-6706.2011.16.014
- VernacularTitle:超声造影诊断肝脾外伤的临床应用研究
- Author:
Xiulan PENG
;
Fanghua CHEN
- Publication Type:Journal Article
- Keywords:
Contrast-enhanced ultrasound;
Liver;
Spleen;
Trauma
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(16):2189-2191
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss clinical application value of contrast-enhanced ultrasound(CEUS) technology in the diagnosis of liver and spleen trauma. MethodsRetrospective analysis 25 cases of liver and spleen trauma patients, the conventional ultrasonic CEUS complete material, analysis of the liver and spleen damage CEUS performance,and with surgery and computed tomography(CT) strengthen comparative analysis of the sensitivity of the conventional ultrasonic, CEUS, specific degree and the classification accuracy. ResultsAmong the surgery or CT confirmed 23 cases for liver and spleen rupture,the pure 8 cases liver, injury 13 cases of pure spleen rupture ,liver and spleen composite injury in 2 cases. And surgery or CT comparison, the sensitivity of the CEUS and specific degrees were 90.5％ and 66.7％ ,significantly higher than conventional ultrasound 59. 1％ and 33.3％ (P ＜0.05) ;CEUS classification was 91.3％ (21/23), significantly higher than the rules of ultrasound was 65.2％ ( 15/23 ), both differences were statistically significant( P ＜ 0.05). ConclusionCEUS diagnosis liver and spleen, due to the sensitivity of the damage degree high, and the classification accuracy was higher, the diagnosis to accurately evaluate the extent of the damage to the liver and spleen in liver and spleen, the loss of the diagnosis and treatment of clinical guidelines choice had important value of clinical application.
