Wernecke K, Peters P E, Galanski M
Radiology. 1986 May;159(2):405-9. doi: 10.1148/radiology.159.2.3515418.
Twelve patients with mediastinal masses evaluated by computed tomography (CT) and histologically verified were evaluated sonographically by means of the suprasternal approach. Eleven of 12 mediastinal tumors could be visualized sonographically, mainly as hypoechoic and perivascularly situated masses, and could be located topographically with a fair degree of certainty. Suprasternal sonography is particularly useful in the detection of small, perivascular lymphomas of the supraaortic branches. In patients with problematic CT findings, particularly children and patients with allergies to contrast media, suprasternal sonography can provide important additional information. Moreover, suprasternal sonography can be used to determine the consistency and to monitor the treatment of mediastinal tumors. Finally, the suprasternal approach is suitable for sonographically guided biopsies of mediastinal tumors.
对12例经计算机断层扫描(CT)评估且组织学确诊的纵隔肿块患者,采用胸骨上入路进行超声检查。12例纵隔肿瘤中有11例可通过超声显示,主要表现为低回声且位于血管周围的肿块,并且能够在一定程度上准确进行定位。胸骨上超声检查在检测主动脉弓上分支的小血管周围淋巴瘤方面特别有用。对于CT检查结果有问题的患者,尤其是儿童和对造影剂过敏的患者,胸骨上超声检查可提供重要的额外信息。此外,胸骨上超声检查可用于确定纵隔肿瘤的质地并监测其治疗情况。最后,胸骨上入路适用于纵隔肿瘤的超声引导下活检。