Oh K S, Newman B, Bender T M, Bowen A
University of Pittsburgh School of Medicine, Pennsylvania.
Radiol Clin North Am. 1988 Mar;26(2):355-64.
Recent technical advancements allow us to better evaluate the diaphragm and juxtadiaphragmatic lesions. Plain radiographs demonstrate morphology of the diaphragm in most cases. Function of the diaphragm can easily be evaluated by ultrasonography and fluoroscopy. Ultrasonography can be performed at bedside and should be used before fluoroscopy in infants and children. Ultrasonography can also demonstrate congenital anomalies of the diaphragm in utero. CT clearly discloses the underlying pathology and the extent of most juxtadiaphragmatic lesions. The newest modality, MRI, is quite promising and may become the procedure of choice for evaluation of diaphragmatic as well as juxtadiaphragmatic lesions in the very near future.
最近的技术进步使我们能够更好地评估膈肌和膈周病变。在大多数情况下,普通X线片可显示膈肌形态。膈肌功能可通过超声检查和荧光透视法轻松评估。超声检查可在床边进行,在婴儿和儿童中应在荧光透视法之前使用。超声检查还可显示子宫内膈肌的先天性异常。CT能清晰地揭示大多数膈周病变的潜在病理情况及范围。最新的检查方式——磁共振成像(MRI)很有前景,在不久的将来可能会成为评估膈肌及膈周病变的首选检查方法。