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MRI 在实体器官损伤患者早期随访中的作用:我们为什么要这样做以及如何做?

Role of MRI in early follow-up of patients with solid organ injuries: How and why we do it?

机构信息

Department of General and Emergency Radiology, "Antonio Cardarelli" Hospital, Via A. Cardarelli 9, 80131, Naples, Italy.

Department of Emergency Surgery, "Antonio Cardarelli" Hospital, Via A. Cardarelli 9, 80131, Naples, Italy.

出版信息

Radiol Med. 2021 Oct;126(10):1328-1334. doi: 10.1007/s11547-021-01394-0. Epub 2021 Jul 20.

DOI:10.1007/s11547-021-01394-0
PMID:34283337
Abstract

Trauma represents one of the most common causes of death or permanent disability in the population below 50 years. At present, non-operative treatment is the commonly adopted strategy in hemodynamically stable patients with solid organ injuries, when there are not concomitant bowel and mesenteric injuries requiring a prompt surgical approach, but it may require multiple imaging follow-up examinations, especially in the case of major injuries. No data are available about magnetic resonance imaging utilization in the early follow-up of trauma patients with solid organ injuries, particularly in liver and spleen trauma. We report our preliminary experience in this field.

摘要

创伤是 50 岁以下人群中最常见的死亡或永久残疾原因之一。目前,对于血流动力学稳定且无伴发需要立即手术治疗的肠和肠系膜损伤的实质脏器损伤患者,常采用非手术治疗,但可能需要多次影像学随访检查,尤其是对于严重损伤的患者。目前尚无关于磁共振成像在实质脏器损伤(尤其是肝脾外伤)创伤患者早期随访中的应用数据。我们报告了这方面的初步经验。

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本文引用的文献

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2
Role of multidetector computed tomography in the assessment of pancreatic injuries after blunt trauma: a multicenter experience.多排螺旋计算机断层扫描在钝性创伤后胰腺损伤评估中的作用:一项多中心经验
Gland Surg. 2019 Apr;8(2):184-196. doi: 10.21037/gs.2019.02.02.
肝胆特异性磁共振造影剂:在胆道创伤中的作用
Gland Surg. 2023 Oct 30;12(10):1425-1433. doi: 10.21037/gs-23-29. Epub 2023 Oct 26.
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Imaging of human papilloma virus (HPV) related oropharynx tumour: what we know to date.人乳头瘤病毒(HPV)相关口咽肿瘤的影像学:我们目前所了解的情况。
Infect Agent Cancer. 2023 Oct 9;18(1):58. doi: 10.1186/s13027-023-00530-x.
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Abdominal compartment syndrome: what radiologist needs to know.腹部间室综合征:放射科医生需要了解的知识。
Radiol Med. 2023 Dec;128(12):1447-1459. doi: 10.1007/s11547-023-01724-4. Epub 2023 Sep 25.
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An Updated Review on Imaging and Staging of Anal Cancer-Not Just Rectal Cancer.肛门癌的影像学和分期更新:不只是直肠癌。
Tomography. 2023 Sep 4;9(5):1694-1710. doi: 10.3390/tomography9050135.
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[Blunt abdominal trauma in children and adolescents: treatment concepts in the acute phase].[儿童和青少年钝性腹部创伤:急性期的治疗理念]
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Diagnostics (Basel). 2023 Apr 4;13(7):1347. doi: 10.3390/diagnostics13071347.
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