Cranial ultrasound in perioperative period of acute severe traumatic brain injury

Objective To observe the value of cranial ultrasound for perioperative patients with acute severe traumatic brain injury(sTBI).Methods Data of 55 sTBI patients who underwent craniotomy were retrospectively analyzed.The patients were divided into observation group(n=15)and control group(n=40)according to received perioperative cranial ultrasound or not.The general data and surgical data were compared between groups,and ultrasonic data of observation group were analyzed.Results The proportions of good prognosis 1 and 6 months after operation in observation group were both higher than those in control group,while the incidence of cerebral infarction in observation group was lower than that in control group(all P<0.05).No significant difference of general data nor other surgical data was found between groups(all P>0.05).Acute encephalocele occurred in 1 case in observation group during operation,and cranial ultrasound accurately showed the contralateral secondary epidural hematoma.Increased intracranial pressure in different degrees were found in all 15 cases(15/15,100%)in observation group after operation with transcranial color coded Doppler(TCCD)or transcranial Doppler(TCD),while cerebral vascular spasm was observed in 5 cases(5/15,33.33%),among them 4 cases(4/5,80.00%)were diagnosed cerebral infarction based on CT examination.Conclusion Cranial ultrasound could be used to evaluate changes of sTBI in perioperative period and guide adjusting treatment strategy in time,being valuable for reducing risk of postoperative cerebral infarction and improving prognosis.

B超在计划生育手术并发症诊治中应用100例分析

目的:探讨B超在计划生育手术并发症诊治中的临床应用价值。方法:对100例计划生育手术并发症应用B超进行诊治的病例进行回顾性分析。结果:B超引导下手术均一次性成功。结论:B超在计划生育手术并发症的诊治中具有创伤小,疗效好,患者易于接受的特点,是计划生育手术并发症诊治的一种全新方式。

256例子宫肌瘤临床分析

目的探讨子宫肌瘤患者诊断与治疗的有关因素。方法对256例手术和病理检查证实为子宫肌瘤患者的临床资料进行回顾性分析。结果首诊有明显症状到医院检查发现146例(57.03%),无症状或有轻微症状未就医而妇科检查和B超发现92例(35.94%),其他原因手术发现18例(7.03%),伴有子宫肌瘤变性36例(14.06%)。结论定期妇科健康检查可早期发现子宫肌瘤,子宫肌瘤的治疗应个体化。

高频超声在隆乳术后假体并发症诊断中的应用13例分析

目的：探讨高频超声在对隆乳术后假体并发症的诊断价值。方法：对13例患者26只乳房假体隆乳术后3个月~6 a进行超声检查,观察并发症声像图特征,检查结果均经手术证实。结果：隆乳术后并发症21只,其中乳房疼痛感染13只;假体渗漏、破裂、结节形成5只;假体包膜挛缩、移位3只;乳房正常5只。结论：高频超声能准确、清晰显示假体大小、部位、形态及其与周围组织的关系。高频超声简便易行,对隆乳术后并发症的诊断有重要价值。

B型超声在胆道术后损伤10例诊断中的应用分析

目的:探讨应用B型超声诊断胆道术后损伤。方法:对胆道术后5d～1个月出现全身皮肤、巩膜黄染、恶心、有右上腹阵发性腹痛的9例及手术部位皮肤下水肿1例进行跟踪检查。结果:10例患者超声检查,7例显示肝内外胆管不同程度扩张,胆总管最宽达2.5cm,平均1.2cm。10例患者肝脏前缘及腹腔均可见液性暗区,超声引导下腹腔抽出液体为黄色胆汁。超声诊断:肝内外胆管扩张,腹腔积液(考虑胆道术后损伤胆总管,胆汁外漏)。结论:应用B型超声诊断胆道术后损伤简便有效。