Stroh C, Manger T
Departement für Allgemein-, Viszeral- und Kinderchirurgie, Chirurgisches Zentrum am Wald-Klinikum Gera gGmbH, Akademisches Lehrkrankenhaus der Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 2003 Dec;128(12):1075-9. doi: 10.1055/s-2003-44845.
The diagnosis of perirectal masses can be accomplished by computer tomography and magnet resonance imaging if the rectum is contrasted. The accuracy of these methods is > 90 %. But often the assessment of the exact borders with respect to the rectum wall and to the genitalia is difficult. Therefore transrectal 3D-ultrasound is of major importance in the preoperative staging and postoperative follow-up of rectum cancer and allows the diagnosis of pararectal findings using the ultrasound-guided, transrectal aspiration. By ultrasound-guided aspiration biopsy we detected five cases of pararectal and especially presacral diseases including one case of endometriosis. The diagnostic algorithm is described.
如果直肠进行对比,可通过计算机断层扫描和磁共振成像来诊断直肠周围肿物。这些方法的准确率>90%。但通常很难评估肿物相对于直肠壁和生殖器的确切边界。因此,经直肠三维超声在直肠癌的术前分期和术后随访中具有重要意义,并且可以通过超声引导下的经直肠穿刺抽吸来诊断直肠旁病变。通过超声引导下的穿刺活检,我们检测到5例直肠旁尤其是骶前疾病,其中包括1例子宫内膜异位症。本文描述了诊断算法。