Angelini L, Caratozzolo M
Cattedra di Chirurgia Generale, Università di Roma La Sapienza.
Ann Ital Chir. 1999 Mar-Apr;70(2):223-30.
The intraoperative ultrasound (IOUS) is a diagnostic technique, of not recent introduction in the clinical practice, that nevertheless has not yet achieved the capillary and extensive diffusion that would deserve for his elevated sensitivity and specificity in the study of parenchymas (particularly liver and pancreas) as well as in the study alterations of ducts (for example the biliary tree) or of vessels. The authors, in the present article, describes the present uses and the actual diagnostical potentialities of the IOUS in the varied fields of more frequent uses in surgery and particularly in the liver surgery, in the surgery of the common bile duct and in the pancreatic surgery; and in addiction pointing out the possible advantages that the introduction of more recent technologies (for example the color and the power Doppler) n the routine of operating room will bring in the correct surgical management and particularly in oncologic surgery.
术中超声（IOUS）是一种并非近期才引入临床实践的诊断技术，然而它尚未实现应有的广泛普及，尽管其在实质器官（尤其是肝脏和胰腺）研究以及导管（例如胆道系统）或血管病变研究中具有较高的敏感性和特异性。本文作者描述了IOUS在手术中更常用的不同领域，特别是肝脏手术、胆总管手术和胰腺手术中的当前应用及实际诊断潜力；此外还指出，将更新的技术（如彩色和能量多普勒）引入手术室常规操作，将给正确的手术管理，尤其是肿瘤手术带来可能的优势。
