介入超声技术在外科急腹症诊治中的应用进展

Practice and progress of interventional ultrasound in the diagnosis and treatment of acute abdomen

急腹症是外科临床常见的急危重症,及时地诊断及正确地处理影响到患者的预后。传统的急腹症诊断多依赖于患者临床及影像学表现,部分患者甚至需行剖腹探查以明确病因并予针对性治疗。近年来随着介入超声的发展,超声造影、超声引导下活检、引流等技术逐步应用于外科急腹症的诊治,特别是包括有外科医师参与的介入超声技术,切实提高了诊断效率,拓宽了治疗思路。本文就介入超声技术在外科急腹症诊治中的应用进展进行总结与评价。

Acute abdominal pain is one of the most frequent complaints of patients presenting to the emergency department.Timely diagnosis and correct treatment affect the prognosis of patients.Traditional diagnosis mostly depends on physical examination and radiology.In terms of treatment,some patients need exploratory laparotomy.In recent years,with the development of interventional ultrasound,new techniques such as contrast-enhanced ultrasound,ultrasound-guided biopsy,drainage have been gradually applied to the diagnosis and treatment of surgical acute abdomen,especially the surgeon-performed interventional ultrasound,which has effectively improved the diagnostic efficiency and broadened the treatment choice.In this article,we aim to review and evaluate the application and progress of interventional ultrasound in the diagnosis and treatment of surgical acute abdomen.