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手术遗留物品的影像学检查:图文综述,包括新进展

Imaging of retained surgical items: A pictorial review including new innovations.

作者信息

Kumar G V Santhosh, Ramani Subhash, Mahajan Abhishek, Jain Nikshita, Sequeira Rachel, Thakur Meenakshi

机构信息

Department of Radio-diagnosis, Tata Memorial Hospital, Mumbai, Maharashtra, India.

出版信息

Indian J Radiol Imaging. 2017 Jul-Sep;27(3):354-361. doi: 10.4103/ijri.IJRI_31_17.

Abstract

With the advent of newer imaging modalities retained surgical items are now easily diagnosed by their characteristic imaging appearances. A combination of complementary imaging modalities helps to arrive at the diagnosis of this relatively rare complication. Factors contributing to their imaging features include the timing of diagnosis and imaging, presence of secondary infection, communication of the retained item with hollow viscus or external skin wound, and type of imaging modality used. A high index of suspicion is necessary for diagnosis before labeling it as a retained surgical item. In parallel with recent advances in surgery, it is essential that there is increasing awareness among radiologists regarding the newer types of retained surgical items.

摘要

随着更新的成像方式的出现,现在通过其特征性的成像表现可以很容易地诊断出手术中遗留的物品。多种互补成像方式相结合有助于诊断这种相对罕见的并发症。影响其成像特征的因素包括诊断和成像的时机、是否存在继发感染、遗留物品与中空脏器或外部皮肤伤口的连通情况以及所使用的成像方式类型。在将其诊断为手术中遗留物品之前,必须要有高度的怀疑指数。与外科手术的最新进展同步,放射科医生对新型手术中遗留物品的认识不断提高至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/178b/5644334/4d5660bf6f6a/IJRI-27-354-g001.jpg

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