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肾上腺的高分辨率实时超声检查:一项常规检查?

High-resolution real-time sonography of the adrenal glands: a routine examination?

作者信息

Marchal G, Gelin J, Verbeken E, Baert A, Lauwerijns J

出版信息

J Ultrasound Med. 1986 Feb;5(2):65-8. doi: 10.7863/jum.1986.5.2.65.

DOI:10.7863/jum.1986.5.2.65
PMID:3514938
Abstract

The feasibility of imaging the adrenal glands during routine upper abdominal examinations was studied for 100 consecutive patients, 47 males and 53 females. The mean patient age was 46 years and the mean weight 63 kg. The suprarenal areas were scanned in a slightly oblique frontal plane through the intercostal spaces with the patient recumbent. The right adrenal gland was detected in 92 per cent of the patients, with a mean examination time of less than one minute. Visualization of the left adrenal gland was more difficult and was successful in only 71 per cent, even where additional views in the right lateral decubitus or erect position were added. The mean examination time on the left was 2 1/2 minutes. Complete visualization of the adrenal gland is impossible in one single plane because of the complex shape of the organ, which necessitates multiple contiguous scan planes. In 13 per cent of the visualized adrenals, cortex and medulla could be differentiated.

摘要

对100例连续患者(47例男性和53例女性)进行了常规上腹部检查时肾上腺成像可行性的研究。患者平均年龄46岁,平均体重63千克。患者卧位时,通过肋间间隙在略倾斜的额状面扫描肾上腺区域。92%的患者检测到右侧肾上腺,平均检查时间不到1分钟。左侧肾上腺的显影更困难,即使增加右侧卧位或直立位的额外视图,也仅71%成功显影。左侧的平均检查时间为2分半钟。由于肾上腺形状复杂,单个平面不可能完全显示肾上腺,这就需要多个相邻的扫描平面。在13%显影的肾上腺中,皮质和髓质可以区分。

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