超声造影引导下穿刺治疗腹部实质脏器损伤

Efficacy and safety of injection treatment of abdominal trauma under contrast enhanced ultrasound

目的探讨超声造影指导腹部实质脏器创伤后行经皮穿刺治疗的有效性及安全性。方法12例腹部实质脏器损伤患者行超声造影检查，明确脏器损伤部位、损伤程度及有无活动性出血，生命体征稳定者在超声造影引导下注射止血剂，行局部止血治疗，均于治疗后即刻、1d、3d、1周、2周、1个月行常规超声及超声造影检查。结果12例患者均即刻止血，无迟发性再出血。结论超声造影显著提高腹部实质性脏器损伤诊断的准确性，准确指导局部介入性止血治疗，效果显著，安全可靠。

Objective To investigate the efficacy and safety of contrast enhanced ultrasound （CEUS）-guided local injection therapy in treatment of abdominal trauma. Methods CEUS was performed in 12 patients with abdominal trauma to determine the location, injury severity and possible active bleeding. Then, all 12 patients underwent CEUS-guided local injection therapy with haemostat. Conventional ultrasound and CEUS examinations were performed at days 0, 1, 3, 7, 14 and 30 after the treatment. Results The bleeding was instantly controlled by using CEUS-guided local injection therapy without delayed rehemorrhage. Conclusion Compared with conventional ultrasound, CEUS can more significantly elevate diagnostic accuracy of abdominal trauma and accurately guide local injection therapy, with satisfactory curative effect and safety.