摘要
目的探讨常规超声和超声造影在肝移植术后活动性出血的诊断价值。方法对2019年4月至2021年7月发生肝移植术后活动性出血33例患者的常规超声和超声造影图像进行分析。以手术探查或腔镜手术为"金标准"。结果常规超声及超声造影对肝移植术后活动性出血的诊断准确率分别为27.3%(9/33)、96.9%(32/33),差异有统计学意义(χ^(2)=31.165,P<0.05),出血点位置的诊断准确率分别为27.3%(9/33)、87.8%(29/33),差异有统计学意义(χ^(2)=22.393,P<0.05)。结论超声造影较常规超声不仅能准确地诊断肝移植术后活动性出血,还能明确出血点位置,对出血点位置明确的患者可在超声引导下行微创止血。
Objective To investigate the diagnostic value of routine ultrasound and contrastenhanced ultrasound in active bleeding after liver transplantation. Methods Routine ultrasound and contrast-enhanced ultrasound images of 33 patients with active bleeding after liver transplantation from April 2019 to July 2021 were analyzed. Surgical exploration or endoscopic surgery is the"gold standard".Results The accuracy of routine ultrasound and contrast-enhanced ultrasound in the diagnosis of active bleeding after liver transplantation were 27.3%(9/33)and 96.9%(32/33),respectively. The difference was statistically significant(χ^(2)=31.165,P<0.05),and the accuracy of bleeding point location was 27.3%(9/33)and 87.8%(29/33),respectively(χ^(2)=22.393,P<0.05). Conclusion Contrast-enhanced ultrasonography is more accurate than conventional ultrasound in diagnosing active bleeding during perioperative period of liver transplantation,which provides an important basis for clinical diagnosis and treatment.
作者
赵宁波
黄秀玲
张瑜
周丹
李一君
邓芬
黄佳
冯程
胡红星
ZHAO Ning-bo;HUANG Xiu-ling;ZHANG Yu;ZHOU Dan;LI Yi-jun;DENG Fen;HUANG Jia;FENG Cheng;HU Hong-xing(Department of Ultrasound,Shenzhen Third People′s Hospital,Shenzhen 518112;Guangdong Medical University,Zhanjiang,Guangdong 524000;Intensive Care Unit,Shenzhen Third People′s Hospital,Shenzhen 518112;Department of Organ Transplantation,Shenzhen Third People′s Hospital,Shenzhen 518112,China)
出处
《岭南现代临床外科》
2021年第6期620-624,共5页
Lingnan Modern Clinics in Surgery
基金
深圳市科创委项目(JCYJ20170307095236069)。
关键词
超声造影
肝移植
活动性出血
contrast-enhanced ultrasound
liver transplantation
active bleeding
