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经腹超声在成人肠道疾病初步评估中的应用

Transabdominal ultrasound in the initial assessment of adult bowel diseases.

作者信息

Kuzmich Siarhei, Harvey Chris J, Speirs Archie J

机构信息

Department of Imaging, Hammersmith Hospital, Imperial NHS Trust, London W12 0HS.

出版信息

Br J Hosp Med (Lond). 2009 Dec;70(12):M182-5. doi: 10.12968/hmed.2009.70.Sup12.45519.

DOI:10.12968/hmed.2009.70.Sup12.45519
PMID:20081628
Abstract

Transabdominal ultrasound is increasingly chosen as the initial imaging technique in the radiological work-up of bowel abnormalities in adults because ultrasound can provide substantial information about gastrointestinal disorders. In the presence of pathological changes in the intestine, sonographic findings, such as thickening of the bowel wall, changes in the perienteric fat and vascularity, have recognizable and reproducible appearances (Kuzmich et al, 2009). Although the diagnostic quality of ultrasound can be compromised by bowel gas and obesity, ultrasound has a number of strengths, including its ability to allow real-time correlation between the sonographic findings and the area of maximum tenderness combined with excellent spatial resolution, wide availability, lack of radiation and its non-invasive nature. This article illustrates the key sonographic features of commonly encountered bowel disorders in adults and highlights ultrasound techniques that may assist in diagnosis.

摘要

经腹超声越来越多地被选作成人肠道异常放射学检查的初始成像技术,因为超声能够提供有关胃肠道疾病的大量信息。在肠道出现病理改变时,超声检查结果,如肠壁增厚、肠周脂肪和血管变化,具有可识别和可重复的表现(库兹米奇等人,2009年)。尽管肠道气体和肥胖可能会影响超声的诊断质量,但超声具有许多优点,包括能够使超声检查结果与最压痛区域进行实时关联,同时具有出色的空间分辨率、广泛可用性、无辐射及其非侵入性。本文阐述了成人常见肠道疾病的关键超声特征,并强调了有助于诊断的超声技术。

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