Hur'iev S O, Novikova M M, Kushnir V A, Kuz'min V Iu
Klin Khir. 2009 Feb(2):35-8.
Efficacy of treatment of "high-energy trauma" depends on timely establishing of diagnosis. Modern radiological diagnosis permits to reveal the damage of the abdominal parenchyma organs and kidneys, as well as retroperitoneal space hematoma. The ultrasonograhic investigation method (UIM) is considered the leading one in estimation of traumatic damage of parenchymatous organs of abdominal cavity and retroperitoneal space because of contraindications absence, as well as radiological load, noninvasiveness and accessibility. The issues of ultrasonographic diagnosis of retroperitoneal hematoms in closed abdominal trauma and lumbar region were enlighted, their echosemiotics is adduced. There were examined 65 injured persons, suffering polysystemic and polyorgan damages, in whom retroperitoneal hematoma was revealed. The UIM data were compared with intraoperative diagnosis results. There were established the method possibilities not only in the hematoms diagnosis but in dynamical control conduction for the structure changes in the damaged region in conditions of favorable course or in complications occurrence, retroperitoneal abscess in part.
“高能创伤”的治疗效果取决于能否及时做出诊断。现代放射学诊断能够发现腹部实质器官和肾脏的损伤，以及腹膜后间隙血肿。超声检查法（UIM）由于没有禁忌症、放射学负担小、无创且易于操作，被认为是评估腹腔实质器官和腹膜后间隙创伤性损伤的主要方法。文中阐述了闭合性腹部创伤和腰部区域腹膜后血肿的超声诊断问题，并列举了其回声半符号学。对65例遭受多系统和多器官损伤且发现腹膜后血肿的伤者进行了检查。将超声检查法的数据与术中诊断结果进行了比较。结果表明，该方法不仅在血肿诊断方面具有可行性，而且在病情顺利或出现并发症（部分为腹膜后脓肿）时，对受损区域结构变化进行动态监测也具有可行性。
