Evaluation of blunt pancreatic injury with contrast-enhanced ultrasonography in comparison with contrast-enhanced computed tomography.

Evaluation of blunt pancreatic injury with contrast-enhanced ultrasonography in comparison with contrast-enhanced computed tomography.
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对比增强超声检查与增强计算机断层扫描对胰腺钝性损伤的评估

DOI:
10.3892/etm.2013.1009
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发表时间:
2013-05
影响因子:
2.7
通讯作者:
Luo YK
Luo YK
中科院分区:
医学4区
文献类型:
--
作者:
Song Q;Tang J;Lv FQ;Zhang Y;Jiao ZY;Liu Q;Luo YK

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本研究的目的是评估急性钝性胰腺损伤使用对比增强超声(CEUS)与对比增强计算机断层扫描(CECT)的比较。对40头广西巴马小型猪钝性胰腺损伤建立了浅表和深部病变。常规超声(US)、超声造影(CEUS)和CECT检测胰腺外伤性病变。共建立40个病灶,其中深部病灶20个,浅表病灶20个。US确定了40个病变中的21个,包括20个浅表病变中的7个和20个深部病变中的14个。超声造影发现了40个病灶中的34个,包括20个浅表病灶中的14个和20个深部病灶中的20个。CECT发现了40个病变中的33个,包括20个浅表病变中的13个和20个深部病变中的20个。CEUS对急性钝性胰腺损伤的检出率明显高于US(85比52.5%,P<0.05),但CEUS与CECT对胰腺病变的检出率无显著差异(85比82.5%,P<0.05)。超声造影提高了常规超声的诊断水平,在诊断钝性胰腺损伤方面与CECT相当。
The aim of the present study was to evaluate acute blunt pancreatic injury using contrast-enhanced ultrasonography (CEUS) in comparison with contrast-enhanced computed tomography (CECT). Superficial and deep lesions were established by blunt pancreatic injury in 40 Chinese Guangxi Bama miniature pigs. Conventional ultrasound (US), CEUS and CECT were performed to detect traumatic lesions in the pancreas. A total of 40 lesions were established, including 20 deep lesions and 20 superficial lesions. US identified 21 of the 40 lesions, including 7 of the 20 superficial and 14 of the 20 deep lesions. CEUS identified 34 of the 40 lesions, including 14 of the 20 superficial and 20 of the 20 deep lesions. CECT identified 33 of the 40 lesions, including 13 of the 20 superficial and 20 of the 20 deep lesions. The detection rate of acute blunt pancreatic injury using CEUS was significantly higher compared with that using US (85 vs. 52.5%, P<0.05), however there was no significant difference in the detection rate of pancreatic lesions between CEUS and CECT (85 vs. 82.5%, P>0.05). CEUS improves the diagnostic levels of conventional US and is comparable with CECT scans in the diagnosis of blunt pancreatic injury.
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