Hackl C, Bitterer F, Platz Batista da Silva N, Jung E M, Schlitt H J
Klinik und Poliklinik für Chirurgie, Universitätsklinik Regensburg, Franz Josef Strauss Allee 11, 93053, Regensburg, Deutschland.
Institut für Röntgendiagnostik, Universitätsklinik Regensburg, Regensburg, Deutschland.
Chirurg. 2020 Jun;91(6):474-480. doi: 10.1007/s00104-020-01142-6.
Intraoperative ultrasound is a routine procedure in abdominal surgery. Not only detection of focal lesions but also perfusion and elasticity analyses using color-coded Doppler sonography, contrast-enhanced ultrasound and elastography enable highly sensitive and highly specific diagnostics, especially in oncological surgery.
This article provides an overview on current techniques of intraoperative ultrasound and gives an outlook on future possibilities and applications.
Literature-based presentation of evidence-based intraoperative ultrasound, discussion of current basic research and expert recommendations.
Modern intraoperative ultrasound is a highly efficient technique for detection and characterization of focal space-occupying lesions in surgery of benign and malignant diseases.
Intraoperative ultrasound is a highly sensitive and specific diagnostic tool, providing real-time diagnostics with a manageable amount of technical equipment. Thus, preoperative diagnostics can be refined, partly resulting in a modification of intraoperative treatment management. Future developments in the fields of digital image fusion with preoperative sectional imaging, optical guidance of surgical instruments and molecular targeted tumor therapy will increase the importance of intraoperative sonography even more.
术中超声是腹部手术中的常规操作。不仅可以检测局灶性病变，还能通过彩色多普勒超声、超声造影和弹性成像进行灌注和弹性分析，实现高度敏感和特异的诊断，尤其在肿瘤手术中。
本文综述了术中超声的当前技术，并展望了未来的可能性和应用。
基于文献介绍循证术中超声，讨论当前基础研究及专家建议。
现代术中超声是一种高效技术，可用于在良性和恶性疾病手术中检测局灶性占位性病变并对其进行特征描述。
术中超声是一种高度敏感和特异的诊断工具，借助数量可控的技术设备提供实时诊断。因此，可以完善术前诊断，部分可导致术中治疗管理的改变。数字图像与术前断层成像融合、手术器械的光学引导以及分子靶向肿瘤治疗等领域的未来发展将进一步提升术中超声的重要性。
