Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Department of Radiology, Berlin, Germany.
Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany.
Eur J Radiol. 2021 Nov;144:109977. doi: 10.1016/j.ejrad.2021.109977. Epub 2021 Sep 27.
The aim of our study was to evaluate the impact of a routine tertiary survey ultrasound (US) on patient management in major trauma patients without trauma-related abdominal findings on standardised initial whole-body CT (WBCT).
In this retrospective study, all WBCT scans acquired in major trauma patients between 07/2017 and 12/2019 at a university hospital and level I trauma centre were screened. 1,024 patients were included in the final analysis. Results of tertiary survey US and patient information (demographic data, trauma mechanism, imaging findings, clinical course, medical history, and anticoagulative medication) were collected and analysed.
Routine tertiary survey US revealed new abdominal findings in six out of 1,024 patients (0.6%). None of the patients had to undergo surgery or minimally invasive intervention, nor did any of the patients die as a result of abdominal injuries. Additional abdominal imaging after tertiary survey US was ordered in 39 patients (38 US, 1 US + CT). None of these patients required further treatment for abdominal injuries.
Routine tertiary survey US after inconspicuous standardised initial WBCT did not change clinical outcome for abdominal trauma patients.
本研究旨在评估在无创伤相关腹部发现的标准初始全身体检 CT（WBCT）的情况下，对主要创伤患者进行常规三级超声（US）检查对患者管理的影响。
在这项回顾性研究中，筛选了 2017 年 7 月至 2019 年 12 月期间在一所大学医院和一级创伤中心进行的所有主要创伤患者的 WBCT 扫描。最终有 1024 名患者纳入分析。收集和分析了三级 US 检查结果和患者信息（人口统计学数据、创伤机制、影像学发现、临床过程、病史和抗凝药物治疗）。
在 1024 名患者中，有 6 名（0.6%）患者在常规三级 US 检查中发现新的腹部发现。这些患者均无需手术或微创干预，也没有因腹部损伤而死亡。在三级 US 检查后，又有 39 名患者（38 次 US，1 次 US+CT）接受了额外的腹部影像学检查。这些患者均无需进一步治疗腹部损伤。
在标准初始 WBCT 无异常的情况下，常规进行三级 US 检查并未改变腹部创伤患者的临床结局。
