NGHIÊN CỨU GIÁ TRỊ CỦA CHỤP CLVT TRONG CHẨN ĐOÁN VÀ ĐIỀU TRỊ BẢO TỒN CHẤN THƯƠNG GAN

Abstract

Purpose: Research for valuation of abdominal computed tomography in diagnostic and nonoperated treatment of liver trauma. Subjects and method: Retrospective cross – sectional study of 51 liver trauma patients were diagnostic and treatment at People’s Hospital 115, Ho Chi Minh City from 1/2017 to 12/2018. Results: Objective characteristics: Data from 51 patients, 36 males and 15 females (male/female=2.4), age for both sexes was 33,65±14,17. Traffic accident was 82.4%. Valuation of abdiminal computed tomography for non – operated treatment liver trauma: Treatment success rate in liver trauma: 82.4% with non – operating, 9.8% with embolization interventions, 7.8% with operation. Surgery and embolism mainly has damage in grade IV and V level, only 01 case of grade III surgery due to associated disection gallbladder trauma.. In the cases of hemodynamics stability: level I-II-III injury conservative treatment 100%; Grade IV with 90% success and V level 22.2%. Liver damage is 100% successfully preserved; liver stamping 94.7%; stamping - tearing 72.4%. The rate of treatment success is inversely proportional to the degree of abdiminal free fluid: high level with 50%; medium level 75% and less level 90.3%. Conclusion: Abdominal computed tomography is high value in diagnostic of grading hepatic trauma, thereby giving appropriate treatment options for patients. The presence of abdominal computed tomography make increasing of non- operation treatment for liver trauma.