颈部穿透伤的彩色多普勒超声检查
Color Doppler sonography in penetrating injuries of the neck.
作者信息
Montalvo B M, LeBlang S D, Nuñez D B, Ginzburg E, Klose K J, Becerra J L, Kochan J P
机构信息
Department of Radiology, University of Miami, School of Medicine, FL 33136, USA.
出版信息
AJNR Am J Neuroradiol. 1996 May;17(5):943-51.
PURPOSE
To determine whether color Doppler sonography can be a sensitive alternative to screening arteriography for identifying arterial injury in patients with penetrating traumatic neck injuries.
METHODS
Fifty-two patients admitted to our trauma center with penetrating neck injuries (gunshot wounds and lacerations) were examined prospectively with color Doppler sonography, and findings were compared with the results of angiography (n = 44), with findings at surgery (n = 4), and with clinical status (n = 4).
RESULTS
Color Doppler sonography correctly detected all serious injuries of the carotid arteries (n = 6; 5 diagnosed at angiography and 1 at surgery) and all injuries of the vertebral arteries (n = 4; all diagnosed at angiography). Sonography missed 1 instance of reversible narrowing of the internal and external carotid arteries and did not show 2 normal vertebral arteries.
CONCLUSION
Color Doppler sonography was as accurate as angiography in screening clinically stable patients with zone II or III injuries and no signs of active bleeding. Our initial results suggest that in the future, sonography may be used as a screening examination for arterial lesions in patients with penetrating neck injuries.
目的
确定彩色多普勒超声检查能否作为一种敏感的替代筛查动脉造影的方法，用于识别穿透性颈部创伤患者的动脉损伤。
方法
对52例因穿透性颈部损伤（枪伤和撕裂伤）入住我们创伤中心的患者进行前瞻性彩色多普勒超声检查，并将检查结果与血管造影结果（n = 44）、手术所见（n = 4）及临床状况（n = 4）进行比较。
结果
彩色多普勒超声检查正确检测出所有颈动脉严重损伤（n = 6；5例经血管造影诊断，1例经手术诊断）以及所有椎动脉损伤（n = 4；均经血管造影诊断）。超声检查漏诊1例颈内、外动脉可逆性狭窄，且未显示2例正常椎动脉。
结论
在筛查临床稳定的Ⅱ区或Ⅲ区损伤且无活动性出血迹象的患者时，彩色多普勒超声检查与血管造影检查同样准确。我们的初步结果表明，未来超声检查可能可用作穿透性颈部损伤患者动脉病变的筛查检查。
Zotero 插件