Li L G, Chai J K
Institute of Burns, the Fourth Medical Center, PLA General Hospital, Beijing 100048, China.
Zhonghua Shao Shang Za Zhi. 2020 Nov 20;36(11):1009-1012. doi: 10.3760/cma.j.cn501120-20190904-00371.
The injury mechanism of high-voltage electric burn in limbs is complex and special. The soft tissue and vascular injuries caused by high-voltage electric burn are serious and concealed. It is difficult to judge the severity and extent of injury before surgery, which affects the diagnosis and treatment effects and remains a major problem in burn field. In recent decades, a series of clinical studies have been conducted by scholars at home and abroad, using various imaging methods for the judgment of soft tissue and vascular injuries, which have their own advantages and disadvantages. According to the principle of accuracy, precision, safety, and easy operation, magnetic resonance imaging and magnetic resonance angiography are required at the same time in general for the imaging judgment of soft tissue and vascular injuries in limbs with high-voltage electric burn. The B-mode ultrasonography shall be performed if a precise judgment of vascular injury is needed.
四肢高压电烧伤的损伤机制复杂且特殊。高压电烧伤所致的软组织及血管损伤严重且隐匿。术前难以判断损伤的严重程度和范围,这影响了诊断和治疗效果,仍是烧伤领域的一大难题。近几十年来,国内外学者开展了一系列临床研究,采用多种影像学方法判断软组织和血管损伤,各有优缺点。按照准确性、精确性、安全性及操作简便的原则,一般对于四肢高压电烧伤的软组织和血管损伤的影像学判断需要同时进行磁共振成像和磁共振血管造影。若需要精确判断血管损伤,则应进行B型超声检查。