둔상에 의한 비장 손상에서 비수술적 치료 시 반복적 전산화 단층 촬영
Repeat CT Scan for Non-operative Management of Blunt Splenic Trauma
조용필, 정성문, 한명식, 장혁재, 김용호, 최윤백,
소속 상세정보
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
정성문 ( Jeong Sung-Moon )
울산대학교 의과대학 강릉아산병원 마취통증의학교실
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
장혁재 ( Jang Hyuk-Jai )
울산대학교 의과대학 강릉아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과
최윤백 ( Choi Youn-Baik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320040670050390
Abstract
Purpose: This study was performed to evaluate the value of repeated CT scans for the non-operative management of patients with clinically stable blunt splenic trauma.
Methods: 49 consecutive patients with blunt splenic trauma were prospectively studied. Of these, 29 (59.2%) were initially managed non-operatively according to their clinical status and initial CT findings. A repeat CT scan was obtained within 7 days of admission.
Results: Of the 29 non-operatively managed patients, 5 (17.2%) required delayed surgical intervention: 3 presented with a change in thier clinical status, whereas the other 2 did not. In all 5 patients, a repeat CT scan revealed a deteriorating appearance of the splenic injury: active bleeding or an increased hematoma in 3, with splenic artery pseudoaneurysms in the other 2.
Conclusion: This initial experience suggests that a repeat CT scan can provide valuable clinical information in selected cases on the diagnosis and management of a splenic injury to document the healing or progression of the injury. (J Korean Surg Soc 2004;67:390-396)
키워드
비장; 손상; 전산화 단층 촬영; 치료; Spleen; Injuries; Tomography; X-Ray computed; Therapy
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