LIÊN QUAN GIỮA KẾT QUẢ CHẨN ĐOÁN HÌNH ẢNH VÀ KẾT QUẢ ĐIỀU TRỊ BẢO TỒN CHẤN THƯƠNG LÁCH TẠI BỆNH VIỆN NHÂN DÂN 115

Abstract

Objective: To evaluate the correlation between imaging findings (ultrasound, CT scan, angiography) and the outcomes of NOM for splenic injuries. Subjects and methods: A retrospective descriptive study was conducted on 91 patients with splenic injuries managed non-operatively at People's Hospital 115 (2021–2023). Ultrasound, CT scan, and angiography findings were analyzed to assess their relationship with treatment outcomes. Results: Ultrasound: Detected intra-abdominal fluid 89.1% of patients, serving as an effective initial diagnostic tool. CT scan: Identified Grade II (30.8%) and Grade III (38.5%) injuries as the main groups managed with NOM. Angiography: Detected vascular injuries (contrast extravasation or pseudoaneurysms) in 94.1% of patients. Embolization was successful in 82.4% of cases, supporting effective NOM. Success of NOM: Achieved in 96.7% of cases, with predictors including mild-to-moderate injury, absence of vascular injuries, and rapid response to initial resuscitation. Conclusion: Modern imaging techniques (ultrasound, CT scan, angiography) play a vital role in assessing the severity of splenic injuries and predicting the success of NOM.