Brüggemann A, Greie A, Lepsien G
Chirurgische Universitätsklinik, Georg-August-Universität, Göttingen, Federal Republic of Germany.
Surg Endosc. 1991;5(3):150-3. doi: 10.1007/BF02653224.
Real-time sonography has proved to be a valuable tool in the evaluation of the mediastinum in children. In the literature there is a paucity of information on ultrasound examination of the mediastinum in adults. Using a 3.5-MHz sector scanner, we evaluated a new method for the examination of mediastinal organs in adults, which is practicable in routine as well as emergency diagnosis. The endpoints of this study were the visibility of mediastinal organs and the discomfort of the patient. In 100 healthy volunteers aged 20-40 years, the normal anatomy of the anterior and middle mediastinum was investigated. Neither the height nor the weight of the volunteers limited the examination. We found that this method causes no discomfort to the subject. Via the supra-, infra- and left parasternal approaches, anatomical structures of the mediastinum are visible in a high percentage of cases. To date, this method has proved its practicability in more than 250 patients suffering from blunt thoracic trauma, primary and metastatic tumours, and infections of the mediastinum.
实时超声检查已被证明是评估儿童纵隔的一种有价值的工具。在文献中，关于成人纵隔超声检查的信息很少。我们使用一台3.5兆赫的扇形扫描仪，评估了一种用于成人纵隔器官检查的新方法，该方法在常规诊断和急诊诊断中均可行。本研究的终点是纵隔器官的可视性和患者的不适感。在100名年龄在20至40岁的健康志愿者中，对前纵隔和中纵隔的正常解剖结构进行了研究。志愿者的身高和体重均未限制检查。我们发现该方法不会给受试者带来不适。通过胸骨上、胸骨下和胸骨旁左侧途径，在大多数病例中可看到纵隔的解剖结构。迄今为止，该方法已在250多名患有钝性胸部创伤、原发性和转移性肿瘤以及纵隔感染的患者中证明了其实用性。
