Arger P H, Mulhern C B, Bonavita J A, Stauffer D M, Hale J
J Clin Ultrasound. 1979 Apr;7(2):91-7. doi: 10.1002/jcu.1870070204.
To assess the value of pancreatic sonography in patients suspected of having pancreatic disease, our first 500 pancreatic examinations using gray scale imaging were reviewed in a prospective manner without clinical information. Various parameters of each examination were recorded. The pancreas was localized by its relationships to surrounding vessels and the duodenum. The ability to define the head, body, and tail of the pancreas as well as anterior--posterior size measurements were noted and recorded. A retrospective clinical pathologic follow-up was then carried out and correlated with the ultrasonic findings. Four categories of patients were identified. The features seen in pancreatic ultrasonography of the entire group, as well as those seen in the individual categories, were analyzed. This analysis indicates that pancreatic sonography can be used in patients suspected of having pancreatic disease, defining both normal and abnormal pancreas. A high index of suspicion for the type of abnormality present can be achieved.
为评估超声检查对疑似胰腺疾病患者的诊断价值，我们前瞻性地回顾了最初500例使用灰阶成像的胰腺检查病例，且未参考临床信息。记录每次检查的各项参数。通过胰腺与周围血管及十二指肠的关系来定位胰腺。记录确定胰腺头、体、尾的能力以及前后径大小测量值。随后进行回顾性临床病理随访，并与超声检查结果进行对比。共确定了四类患者。分析了整个队列以及各个类别患者的胰腺超声检查特征。该分析表明，超声检查可用于疑似胰腺疾病的患者，鉴别正常胰腺和异常胰腺，并对存在的异常类型保持高度怀疑。
