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[超声造影在骨不连诊断中的应用]

[Contrast-enhanced ultrasound in the diagnostics of non-unions].

作者信息

Doll Julian, Fischer Christian

机构信息

Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

Arcus Sportklinik, Rastatter Str. 17-19, 75179, Pforzheim, Deutschland.

出版信息

Unfallchirurg. 2022 Feb;125(2):107-112. doi: 10.1007/s00113-021-01129-w. Epub 2022 Jan 7.

Abstract

Non-union represents a severe complication and a major socioeconomic challenge in orthopedics and trauma surgery. Timely and reliable diagnostics are obligatory to be able to carry out the treatment of non-unions in a patient-specific and efficient manner. Contrast-enhanced ultrasound (CEUS) is an important interface between clinical signs, imaging investigations and the results of the paraclinical diagnostics, e.g. C‑reactive protein (CRP) and leukocyte count. It can display the microperfusion inside the non-union gap in real time and provide valuable information for exclusion of an infection or on the healing progress after revision surgery. An establishment of this diagnostic modality in routine orthopedic trauma surgery contributes to optimization of the treatment of non-unions.

摘要

骨不连是骨科和创伤外科中一种严重的并发症及重大的社会经济挑战。为了能够以针对患者的有效方式开展骨不连的治疗,及时且可靠的诊断必不可少。超声造影(CEUS)是临床体征、影像学检查与临床旁诊断结果(如C反应蛋白(CRP)和白细胞计数)之间的重要衔接点。它能够实时显示骨不连间隙内的微灌注情况,并为排除感染或翻修手术后的愈合进展提供有价值的信息。在常规骨科创伤手术中确立这种诊断方式有助于优化骨不连的治疗。

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