De Blasis I, Vinci V, Sergi M E, Capozza F, Saldari M, Moro F, Moruzzi M C, Testa A C, Manganaro L
Catholic University of the Sacred Heart, Obstetrics and Gynaecology, Rome.
University of Rome Sapienza, Department of Radiological Sciences.
Facts Views Vis Obgyn. 2017 Mar;9(1):5-14.
The role of imaging after surgery is pivotal to drive clinical management of early and/or late onset complications. Most frequently used imaging technique after pelvic surgery is Ultrasound (US), Magnetic Resonance Imaging (MRI) and Computed Tomography (CT). While Ultrasound is a standard procedure, using grey scale and/or colour Doppler evaluation, MRI and CT scan protocols should be derived on the basis of the specific indication of the exam. Correct evaluation of female pelvis after gynaecologic surgery, having in mind the most frequent complications, is based on the correct use of the instruments and on the experience of the examiner, who should be aware of the history of the patient, type of surgery and clinical symptoms for which the exam is required; the clinician should be aware of the possibilities and limits of the different techniques, in order to choose the most appropriate imaging modality and promptly make a correct diagnosis.
术后影像学检查对于指导早期和/或迟发性并发症的临床管理至关重要。盆腔手术后最常用的影像学技术是超声(US)、磁共振成像(MRI)和计算机断层扫描(CT)。虽然超声是一种标准检查方法,可采用灰阶和/或彩色多普勒评估,但MRI和CT扫描方案应根据检查的具体指征制定。考虑到最常见的并发症,对妇科手术后女性盆腔的正确评估基于仪器的正确使用和检查者的经验,检查者应了解患者的病史、手术类型以及进行该检查所需的临床症状;临床医生应了解不同技术的可能性和局限性,以便选择最合适的成像方式并迅速做出正确诊断。