Application of contrast-enhanced ultrasound in spleen-preserving operation for splenic trauma
LIANG Tong1, REN Jie2, LIANG Qiao-rong1, LIU Zhao-hong1, HUANG Chun-yan1
1. Department of Ultrasound, Foshan Hospital of Guangzhou Traditional Chinese Medicine, Foshan Guangdong 528000, China;2. Department of Ultrasound, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China
Abstract：Objective: To investigate the application of contrast-enhanced ultrasound(CEUS) in operation of splenic trauma. Methods: Forty-six patients with splenic trauma underwent spleen-preserving operations. Both ultrasonography and CEUS were applied for preoperative and postoperative monitoring. Results: Forty-six patients with splenic trauma were classified as follows: 5 patients in Grade Ⅱ, 32 in Grade Ⅲ and 9 in Grade Ⅳ. Conventional ultrasound successfully detected trauma in 42 patients but failed in 4 patients; CEUS diagnosed 46 patients correctly, among which contrast agent overflow was seen in 9 cases. Postoperatively, one patient was found with progressive increase of seroperitoneum, yet two patients with complications were detected by CEUS: one patient’s splenic artery trunk was pressed, while the other suffered uncontrollable postoperative infection whose volume was less than 1/5 of the original volume after spleen surgery. Conclusions: CEUS offers preoperative basis for the spleen-preserving operation for splenic trauma and is also applied for monitoring and following-up after operation. Thus it has great significance in discovering complications, traumatic state and prognosis.
2012, Vol. 23 
