Yamakita N, Yasuda K, Miura K
Ultrasound Med Biol. 1986 Feb;12(2):107-14. doi: 10.1016/0301-5629(86)90015-3.
In 90 control subjects, 90% of the right adrenal and 38% of the left were delineated by sector US scanner. A longitudinal scan from an intercostal space in the mid-axillary line and a right-anterior-transverse scan from the intercostal space were useful in displaying the right adrenal, and an anterior-transverse scan from the epigastrium was also useful in showing the left adrenal. The latter was not as clear as the right. Moreover, a transverse scan from the left flank did not fully display the whole image of the left adrenal. The sizes of both adrenal images were somewhat smaller than those made by computerized tomography (CT), as shown in our previous study. Although the left adrenal in one case of congenital adrenogenital syndrome and those in three cases of Cushing's disease could not be delineated, all of the enlarged right adrenals in these cases were demonstrated by ultrasonic scanning (US). These results suggest the clinical usefulness of US for the detection of affected, nontumorous right adrenals.
在90名对照受试者中，扇形超声扫描仪可显示90%的右侧肾上腺和38%的左侧肾上腺。从腋中线肋间间隙进行的纵向扫描以及从肋间间隙进行的右前横向扫描有助于显示右侧肾上腺，而从上腹部进行的前横向扫描也有助于显示左侧肾上腺。后者不如右侧清晰。此外，从左侧腹部进行的横向扫描不能完全显示左侧肾上腺的全貌。如我们之前的研究所示，两个肾上腺图像的大小均略小于计算机断层扫描（CT）所成图像。尽管1例先天性肾上腺皮质增生症患者的左侧肾上腺以及3例库欣病患者的左侧肾上腺无法显示，但这些病例中所有增大的右侧肾上腺均通过超声扫描（US）得以显示。这些结果表明超声在检测受累的非肿瘤性右侧肾上腺方面具有临床实用性。
