Value of ultrasound in diagnosis of acute traumatic adrenal injury

MU Yi; SHI Haijian; MENG Xiangdong; WANG Jing; YANG Xing

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Value of ultrasound in diagnosis of acute traumatic adrenal injury

更新时间：2026-06-18

- Value of ultrasound in diagnosis of acute traumatic adrenal injury
- Vol. 27, Issue 1, Pages: 46-48(2018)
- 作者机构：
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  CLC：
- Online First：03 April 2018，
  
  Published：03 April 2018
- 稿件说明：
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姥义,施海建,孟祥栋,等. 超声诊断外伤性急性肾上腺损伤的价值[J]. 肿瘤影像学, 2018, 27(1): 46-48
DOI：

姥义,施海建,孟祥栋,等. 超声诊断外伤性急性肾上腺损伤的价值[J]. 肿瘤影像学, 2018, 27(1): 46-48 DOI：

摘要

目的：

评价超声在外伤性急性肾上腺损伤诊断中的应用价值。

方法：

回顾性分析35例经手术或CT检查证实为闭合性腹部外伤致肾上腺损伤的患者的超声表现。

结果：

35例外伤性急性肾上腺损伤中，单侧32例，双侧3例。超声正确诊断31例，漏诊4例。

结论：

超声检查可动态观察肾上腺损伤的范围、内部回声变化，借此监测随访损伤的转归，也可对初期声像图不典型的出血性病变作出明确诊断，特别是对危重患者、重症监护室和手术室患者行床旁检查，可作为诊断外伤性急性肾上腺损伤的一种常用影像学检查方法。

Abstract

Objective：

To evaluate the value of ultrasound in the diagnosis of acute traumatic adrenal injury.

Methods：

Ultrasonographic features of 35 patients with acute traumatic adrenal injury confirmed by surgical operation and (or) CT were retrospectively analyzed.

Results：

Among 35 cases with acute traumatic adrenal injury

32 were unilateral

3 were bilateral. Thirty-one cases were correctly diagnosed and 4 cases were missed.

Conclusion：

Ultrasonography shows the size and echo change of acute traumatic adrenal injury dynamically. The acute traumatic adrenal injury with atypical ultrasonographic features could be diagnosed lastly. Ultrasonography is a bedside examination for critically ill patients in intensive care unit and operation room. It may be the commonly used imaging modality in the diagnosis of acute traumatic adrenal injury.

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