[Role of contrast-enhanced ultrasound in management of splenic trauma].
OBJECTIVE
To study the role of contrast-enhanced ultrasound (CEUS) in the management of splenic trauma


METHODS
Forty patients with splenic trauma underwent CEUS examination and then different management were provided according to the examination results and the general status of patients: conservative treatment (group I, n = 19); CEUS-guided injective therapy (group II, n = 6); and surgery (group III, n = 15).


RESULTS
Eighteen patients were cured in group I and one patient experienced rehaemorrhagia. The haemostatic effect of CEUS-guided injective therapy was obvious in all six patients in group II. Among them, one patient experienced arteriovenous fistula, which was resolved after one week of injective therapy. Fifteen patients in Group III underwent surgery and were cured.


CONCLUSIONS
CEUS can provide reliable information for therapy mode selection in patients with splenic trauma and can be used to guide injective therapy.
Tang
Jie
J
Department of Ultrasound, PLA General Hospital, Beijing 100853, China. txiner@vip.sina.com
Zhang
Hui-Qin
HQ
Lü
Fa-Qin
FQ
Li
Wen-Xiu
WX
Luo
Yu-Kun
YK
Li
Tan-Shi
TS
D003287:Contrast Media; D006801:Humans; D013154:Spleen / Q000000981:diagnostic imaging* / Q000293:injuries*; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy
D003287:Contrast Media