Panorama-Ultraschall der Bauchwand zur Darstellung der Anatomie und pathologischer Befunde
Panorama-Ultraschall der Bauchwand zur Darstellung der Anatomie und pathologischer Befunde
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DOI：
10.1055/s-2001-16392
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发表时间：
2001-08
影响因子：
1.8
通讯作者：
G. Krombach;S. Truong;G. Staatz;A. Mahnken;A. Prescher;J. Tacke;J. Weidner;R. Günther
中科院分区：
文献类型：
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作者：
G. Krombach;S. Truong;G. Staatz;A. Mahnken;A. Prescher;J. Tacke;J. Weidner;R. Günther
目的：评价扩展视野超声对腹壁解剖结构的描绘和对腹股沟疝气的诊断。材料和方法：采用7.5 MHz探头对34例患者(先证者24例，腹壁缺损者10例)进行腹壁扩展视野超声检查。实时图像的动态对准允许在单个扩展视场图像中描绘高达60厘米的区域。分别在弓状线上方、下方和缺损区水平获得标准化轴位图像。所有图像均由两位盲人根据解剖结构的可见性以及病变的范围和范围进行评估。结果：所有患者均在扩大视野超声下显示腹壁，图像质量良好。可见白线、腹直肌、腹膜和皮下脂肪组织。腹壁缺损者的疝囊及其内容物、缺损区的范围及周围结构均清晰显示。结论：扩展视野超声检查可使腹壁超声检查的记录易于观察和重现。这对于腹壁缺损患者的术前计划尤为有用。
Purpose: To assess extended field-of-view sonography for delineation of the anatomic structures of the abdominal wall and for the diagnosis of hernia. Material and Methods: In 34 cases (24 probands, 10 patients with abdominal wall defects) extended field-of-view sonography of the abdominal wall was performed with a 7.5 MHz transducer. Dynamic alignment of real-time images allows for depiction of regions of up to 60 cm in a single extended field-of-view image. A standardized axial image was obtained above and below the arcuate line and at the level of the defect, respectively. All images were evaluated by two blinded readers regarding the visibility of the anatomic structures and the delineation and extent of pathological changes. Results: The abdominal wall was delineated with extended field-of-view sonography in all patients with a good image quality. The linea alba, the rectus muscle and the three lateral abdominal muscles, the rectus sheath, the peritoneum, and the subcutanous fatty tissue were visible. In the patients with abdominal wall defects, the hernial sac with its contents, the extension of the defect, and the surrounding structures were clearly delineated. Conclusion: Extended field-of-view sonography allows for easily surveyed and reproducible documentation of the ultrasound examination of the abdominal wall. It is especially useful for the preoperative planning in patients with abdominal wall defects.