Truong S, Grommes J, Conze J, Schumpelick V
Klinik und Poliklinik für Chirurgie der RWTH Aachen, Aachen, Deutschland.
Chirurg. 2007 May;78(5):443-8. doi: 10.1007/s00104-007-1333-5.
In the early period following surgery, it is very important to reveal any complications. In this article the role of ultrasound in recognizing postoperative complications is demonstrated. Ultrasound findings in typical complications of abdominal surgery such as bleeding, abscess formation, acute cholecystitis, pancreatitis, and postoperative ileus are described. The diagnosis of postoperative bleeding, acute cholecystitis, and ileus is very reliable by ultrasound (sensitivity and specificity >95%). Ultrasonography is inferior to computed tomography in detecting pancreatitis and abscess formation. The guiding of interventions by ultrasound offers additional therapeutic options.
在手术后的早期阶段，发现任何并发症非常重要。本文展示了超声在识别术后并发症中的作用。描述了腹部手术典型并发症（如出血、脓肿形成、急性胆囊炎、胰腺炎和术后肠梗阻）的超声表现。超声对术后出血、急性胆囊炎和肠梗阻的诊断非常可靠（敏感性和特异性>95%）。在检测胰腺炎和脓肿形成方面，超声检查不如计算机断层扫描。超声引导下的干预提供了额外的治疗选择。
