Eichhorn T, Schroeder H G, Glanz H, Schwerk W B
Klinik für Hals-Nasen-Ohrenheilkunde, Philipps Universität Marburg.
HNO. 1987 Nov;35(11):462-7.
During a 3 year period 572 high-resolution sonograms were carried out in the follow-up examinations of 348 patients who had been treated for ENT malignancy. Our experiences in routine application of this diagnostic method are described and illustrated by typical sonograms. Ultrasound findings of complications (chylous cysts, seromas, granulomas, fistulae) are demonstrated and the value and limitations of sonography in detecting lymph node metastases and primary recurrences are pointed out. In spite of the high accuracy of this method, it is not possible to differentiate between lymph nodes which are invaded by tumour and those with non-specific lymph adenopathy by echographic criteria only. We used ultrasound for follow-up studies on patients treated by irradiation or chemotherapy. Finally, sonography provided additional information on the exact site and size of the tumor. Real-time sonography is not time-consuming and can be applied without any special preparation of the patient. It has therefore become a satisfactory diagnostic method in the follow-up of patients who have undergone treatment of malignant tumors.
在3年期间，对348例接受过耳鼻喉恶性肿瘤治疗的患者进行了572次高分辨率超声检查。本文描述了我们在常规应用这种诊断方法方面的经验，并通过典型超声图像进行说明。展示了并发症（乳糜囊肿、血清肿、肉芽肿、瘘管）的超声表现，指出了超声检查在检测淋巴结转移和原发灶复发方面的价值和局限性。尽管该方法准确性高，但仅通过超声标准无法区分受肿瘤侵犯的淋巴结和非特异性淋巴结病的淋巴结。我们将超声用于接受放疗或化疗患者的随访研究。最后，超声检查提供了有关肿瘤确切部位和大小的额外信息。实时超声检查不耗时，无需对患者进行任何特殊准备即可应用。因此，它已成为恶性肿瘤治疗后患者随访中一种令人满意的诊断方法。
