Quintessence Int. 2022 Mar 14;53(4):352-361. doi: 10.3290/j.qi.b2644877.
Point-of-care-ultrasound (PoCUS) is performed by the clinician at the patient's bedside and is an essential diagnostic tool in many medical subspecialties, in hospital-based care, emergencies, trauma, and in general practice. A simple, novel approach for implementation of PoCUS of the oral cavity and maxillofacial complex is introduced. Relevant indications include differentiating abscess from cellulitis, detecting jaw and facial fractures, assessment of surgical complications, removing foreign bodies, and evaluating soft tissue masses. Intraoral and transcutaneous approaches may be used alone or in combination. This pilot series shows the capability of PoCUS to improve diagnostic accuracy, speed diagnosis, guide procedures, and improve management. Prospective studies are underway to determine the strengths and weaknesses of the method and its impact on patient outcomes.
床旁超声检查(Point-of-care-ultrasound,PoCUS)由临床医生在患者床边进行,是许多医学亚专科、医院内护理、急救、创伤和普通实践中必不可少的诊断工具。本文介绍了一种简单新颖的口腔颌面区域 PoCUS 实施方法。其相关适应证包括鉴别脓肿和蜂窝织炎、发现颌骨和面部骨折、评估手术并发症、取出异物以及评估软组织肿块。可单独或联合使用口腔内和经皮两种入路。本初步系列研究表明,PoCUS 可提高诊断准确性、加快诊断速度、指导操作并改善管理。目前正在开展前瞻性研究以确定该方法的优势和劣势及其对患者结局的影响。