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诊断成像检查中腹腔内遗留手术物品:10例系列病例及文献综述

Surgical items retained in the abdominal cavity in diagnostic imaging tests: a series of 10 cases and literature review.

作者信息

Modrzejewski Andrzej, Kaźmierczak Konrad Mateusz, Kowalik Krzysztof, Grochal Inga

机构信息

Clinical Department of General Surgery, Pomeranian Medical University, Szczecin, Poland.

Department of Forensic Medicine, Pomeranian Medical University, Szczecin, Poland.

出版信息

Pol J Radiol. 2023 Jun 5;88:e264-e269. doi: 10.5114/pjr.2023.127668. eCollection 2023.

Abstract

Despite improvements in the safety of surgical procedures, leaving a foreign object in a patient's body is still one of the complications of surgical procedures. The literature lacks an analysis of the effectiveness of specific diagnostic tests in detecting foreign objects. The authors present a discussion of the effectiveness of selected techniques and examples of the appearance of foreign bodies in radiological images based on the description of 10 cases. Leaving surgical haemostatic material in the abdominal or pelvic cavity is an underestimated phenomenon that poses a serious diagnostic problem. Computed tomography is the most sensitive method for detecting a foreign body, while a chest or abdominal X-ray is the simplest and most effective way to identify the surgical material. Ultrasound, although widely available, has not shown utility in diagnosing foreign bodies in our cases. Awareness of this problem is necessary to avoid unnecessary mortality in surgical patients.

摘要

尽管外科手术的安全性有所提高,但在患者体内遗留异物仍是外科手术的并发症之一。文献中缺乏对特定诊断测试检测异物有效性的分析。作者基于10例病例的描述,讨论了所选技术的有效性以及异物在放射影像中的表现实例。将手术止血材料遗留在腹腔或盆腔是一个被低估的现象,会带来严重的诊断问题。计算机断层扫描是检测异物最敏感的方法,而胸部或腹部X线是识别手术材料最简单、最有效的方法。超声虽然广泛可用,但在我们的病例中,尚未显示出诊断异物的效用。认识到这个问题对于避免外科手术患者不必要的死亡是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d903/10317007/688295ef5513/PJR-88-50731-g001.jpg

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