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基于2018年更新的美国创伤外科协会器官损伤分级系统的实体器官损伤的多排螺旋CT表现

[Multidetector CT Findings of Solid Organ Injury Based on 2018 Updated American Association for the Surgery of Trauma Organ Injury Scaling System].

作者信息

Yu Hyo Hyeon, Won Yoo Dong, Lee Su Lim, Ku Young Mi, Song Sun Wha

出版信息

Taehan Yongsang Uihakhoe Chi. 2020 Nov;81(6):1348-1363. doi: 10.3348/jksr.2020.0033. Epub 2020 Nov 30.

DOI:10.3348/jksr.2020.0033
PMID:36237708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9431845/
Abstract

The newly revised 2018 Organ Injury Scale (OIS) has a similar format to the previous American Association for Surgery and Trauma (AAST) Emergency General Surgery Grading System, dividing the criteria for grading solid organ damage into three groups; imaging, operation, and pathology. The most significant alteration in the OIS system 2018 revision is the incorporation of multidetector CT (MDCT) findings of vascular injury including pseudoaneurysm and arteriovenous fistula. Similar to the previous OIS, the highest of the three criteria is assigned the final grade. In addition, if multiple grade I or II injuries are present, one grade is advanced for multiple injuries up to grade III. This pictorial essay demonstrates the MDCT findings of solid organ injury grades based on the 2018 OIS system.

摘要

最新修订的2018年器官损伤分级（OIS）与先前的美国外科和创伤协会（AAST）急诊普通外科分级系统格式相似，将实体器官损伤的分级标准分为三组：影像学、手术和病理学。2018年OIS系统修订中最显著的变化是纳入了包括假性动脉瘤和动静脉瘘在内的血管损伤的多排螺旋CT（MDCT）表现。与先前的OIS类似，三个标准中最高的标准被赋予最终分级。此外，如果存在多个I级或II级损伤，则将多个损伤的分级提升一级，最高至III级。这篇图文并茂的文章展示了基于2018年OIS系统的实体器官损伤分级的MDCT表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/b3aad18dd2a3/jksr-81-1348-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/9719de8b1f75/jksr-81-1348-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/2dd5b8f89df8/jksr-81-1348-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/a411955e8bcf/jksr-81-1348-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/f4f1313fbdaf/jksr-81-1348-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/c3cb365bdacd/jksr-81-1348-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/8ff560fa24b4/jksr-81-1348-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/cb473f80a5e7/jksr-81-1348-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/b3aad18dd2a3/jksr-81-1348-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/9719de8b1f75/jksr-81-1348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/691f75ac81d5/jksr-81-1348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/f10a9401e3ee/jksr-81-1348-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/066f2ec120de/jksr-81-1348-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/2a26e265125f/jksr-81-1348-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/78af193dad81/jksr-81-1348-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/a6ce84b04219/jksr-81-1348-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/2dd5b8f89df8/jksr-81-1348-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/a411955e8bcf/jksr-81-1348-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/f4f1313fbdaf/jksr-81-1348-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/c3cb365bdacd/jksr-81-1348-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/8ff560fa24b4/jksr-81-1348-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/cb473f80a5e7/jksr-81-1348-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4833/9431845/b3aad18dd2a3/jksr-81-1348-g014.jpg

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本文引用的文献

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Organ injury scaling 2018 update: Spleen, liver, and kidney.《2018年器官损伤分级更新：脾脏、肝脏和肾脏》
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脾脏创伤：WSES 分类和成人及儿童患者治疗指南。
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WSES classification and guidelines for liver trauma.WSES肝脏创伤分类及指南
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Outcomes and complications of angioembolization for hepatic trauma: A systematic review of the literature.肝外伤血管栓塞术的结局与并发症：文献系统评价
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The splenic injury outcomes trial: An American Association for the Surgery of Trauma multi-institutional study.脾损伤结局试验：美国创伤外科协会多机构研究。
J Trauma Acute Care Surg. 2015 Sep;79(3):335-42. doi: 10.1097/TA.0000000000000782.
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Implementation of a split-bolus single-pass CT protocol at a UK major trauma centre to reduce excess radiation dose in trauma pan-CT.英国一家主要创伤中心实施分剂量单期CT扫描方案以减少创伤全腹部CT扫描中的过量辐射剂量
Clin Radiol. 2015 Oct;70(10):1110-5. doi: 10.1016/j.crad.2015.05.014. Epub 2015 Jul 4.
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Grade IV renal trauma management. A revision of the AAST renal injury grading scale is mandatory.IV级肾损伤的处理。美国创伤外科学会（AAST）肾损伤分级标准的修订是必要的。
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