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热成像在急性腹部疾病诊断中的意义。

The significance of thermography in the diagnosis of acute abdominal disease.

作者信息

Peltokallio P, Svinhufvud U, Rantakaulio M, Varjoranta K

出版信息

Am J Roentgenol Radium Ther Nucl Med. 1975 Sep;125(1):164-71. doi: 10.2214/ajr.125.1.164.

DOI:10.2214/ajr.125.1.164
PMID:1200209
Abstract

Thermography appears to be a useful supporting aid to classical methods of examination in the clarification of the problems of acute abdominal disease. In a study of 100 patients thermography was in support of the true diagnosis in acute appendicitis in 63 per cent, in acute biliary tract disease in 59 per cent, and, in an attempt to differentiate between tumor and periappendicular abscess, assistance was rendered by thermography in 53 per cent of patients. However, some uncertainty exists because carcinoma often produces in its environment an inflammatory reaction, which causes an increase of temperature visible in the thermogram. In the present series thermography produced a finding supporting the correct diagnosis in 59 per cent. Errors occurred most often in obese patients, who have thick abdominal covers. Thermography also has an obvious application in the localizing of postoperative suppurative foci.

摘要

热成像似乎是一种有用的辅助手段,可辅助经典检查方法来阐明急腹症问题。在一项对100例患者的研究中,热成像对急性阑尾炎的正确诊断支持率为63%,对急性胆道疾病的支持率为59%,并且在试图区分肿瘤和阑尾周围脓肿时,热成像对53%的患者有帮助。然而,存在一些不确定性,因为癌肿常在其周围产生炎症反应,这会导致热像图上可见温度升高。在本系列研究中,热成像得出支持正确诊断的结果占59%。错误最常发生在腹部脂肪厚的肥胖患者中。热成像在术后化脓性病灶的定位方面也有明显应用。

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