Department of Radiology, University College London Hospitals NHS Foundation Trust, Podium Level 2, 235 Euston Rd, London, NW1 2BU, UK.
Department of Colorectal Surgery, HCA Healthcare, London, UK.
Hernia. 2021 Aug;25(4):921-927. doi: 10.1007/s10029-021-02463-z. Epub 2021 Aug 2.
Diastasis of the rectus abdominis muscles (rectus diastasis, RD) is common, particularly in postpartum women. Although imaging is not always mandatory for assessment, several cross-sectional imaging techniques, in particular ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) can depict the abdominal wall in exquisite detail. They permit simultaneous assessment of the degree and craniocaudal extent of RD, evaluation for co-existent hernia and subjective judgement of muscle quality. Increasingly, dynamic imaging techniques show both static anatomy and muscle movement and function. In this review, we highlight the imaging findings of RD, associated hernia, and potential mimics.
腹直肌分离(腹直肌分离症,RD)很常见,尤其是在产后妇女中。尽管影像学检查并非总是必需的,但几种横断面成像技术,特别是超声(US)、计算机断层扫描(CT)和磁共振成像(MRI),可以非常详细地描绘腹壁。它们可以同时评估 RD 的程度和颅尾范围,评估并存的疝,并对肌肉质量进行主观判断。越来越多的动态成像技术显示了静态解剖结构以及肌肉运动和功能。在这篇综述中,我们强调了 RD、相关疝和潜在类似物的影像学表现。