Lazzari G, Lorenzini F, Zarabini A
Radiol Med. 1987 Jul-Aug;74(1-2):75-80.
The value of US in the diagnosis of the alimentary tract diseases is discussed on the basis of a personal series of 116 cases, including 58 lesions detected by US as first investigation. The findings observed are: signet ring; pseudokidney or cockade; tram lines; solid mass; pseudokidney + solid mass. The value of the method is stressed in the staging of malignancies, in the evaluation of palpable masses, in the correct interpretation of some phlogistic diseases and in the follow up. Finally, emphasis is given to its high possibility of topographic definition. US are more and more employed in the diagnosis of abdominal diseases. Concerning the alimentary tract they still remain an investigation complementary to radiology and endoscopy. But the author's opinion is that, when employed a first investigation, one should not exclude the systematic detection of any possible unknown lesion of the alimentary tract: a good example are the 32 positive cases (24 neoplastic) in the present report.
基于本人收集的116例病例,讨论了超声在消化道疾病诊断中的价值,其中58例病变首次检查时由超声检出。观察到的表现有:印戒征;假肾征或花结征;轨道征;实性肿块;假肾征+实性肿块。强调了该方法在恶性肿瘤分期、可触及肿块评估、某些炎症性疾病的正确解读及随访中的价值。最后,强调其在定位诊断方面的高可能性。超声在腹部疾病诊断中的应用越来越广泛。关于消化道疾病,它仍然是放射学和内镜检查的补充检查方法。但作者认为,当作为首次检查方法时,不应排除对消化道任何可能的未知病变进行系统检测:本报告中的32例阳性病例(24例为肿瘤性病变)就是一个很好的例子。