Lutz H
Medizinische Klinik I, Klinikum Bayreuth.
Ultraschall Med. 1989 Jun;10(3):136-42. doi: 10.1055/s-2007-1005979.
During the past 20 years sonographic diagnosis of pancreatic diseases has developed from isolated case reports into a differentiated method. It is particularly suited for prognostic reviewing of acute pancreatitis and for detection of typical complications in acute pancreatitis and pancreatic trauma. Its contribution to the detection of chronic pancreatitis in on-target examination is also highly significant. Carcinomas of the pancreas can be detected with a good degree of sensitivity if their diameter is equal to or exceeds 1.5 cm. Other problems deserving attention are those of differential diagnosis of low-echo space-occupying growths at the pancreas and the differentiation against circumscribed chronic pancreatitis. Sonographically aimed fine needle puncture is a suitable complementary examination. Doubts must be voiced against the value of sonographic diagnosis of the pancreas within the overall framework of so-called mass screenings.
在过去20年中，胰腺疾病的超声诊断已从个别病例报告发展成为一种有鉴别力的方法。它特别适用于急性胰腺炎的预后评估以及急性胰腺炎和胰腺创伤中典型并发症的检测。其在针对性检查中对慢性胰腺炎检测的贡献也非常显著。如果胰腺肿瘤直径等于或超过1.5厘米，就能够以较高的灵敏度检测出来。其他值得关注的问题是胰腺低回声占位性病变的鉴别诊断以及与局限性慢性胰腺炎的区分。超声引导下细针穿刺是一种合适的补充检查。对于在所谓的大规模筛查总体框架内胰腺超声诊断的价值，必须提出质疑。
