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[颈部超声检查——鉴别诊断要点]

[Sonography of the neck-aspects of differential diagnosis].

作者信息

Sievert Matti, Koch Michael, Iro Heinrich, Thimsen Vivian

机构信息

Hals-Nasen-Ohren-Klinik, Kopf- und Halschirurgie, Universität Erlangen, Waldstraße 1, 91054, Erlangen, Deutschland.

出版信息

HNO. 2023 Nov;71(11):750-762. doi: 10.1007/s00106-023-01375-x. Epub 2023 Oct 6.

Abstract

Sonography is the preferred method for primary diagnosis and acute treatment of pathologies involving the neck's soft tissues. Technological advances, particularly high image resolution and multiparametric ultrasound, have improved diagnostic performance. Clinical interest focuses on examining the cervical lymph nodes, salivary glands, and the thyroid gland, as well as space-occupying and inflammatory processes of the neck. In addition, sonography enables targeted minimally invasive histology acquisition using ultrasound-guided biopsies. In this context, the examiner's comprehensive anatomical knowledge and clinical experience are of utmost importance for the quality of findings. This article provides an overview of the most important findings related to sonography of the neck and highlights the relevance of this imaging modality in the hands of the otorhinolaryngologist.

摘要

超声检查是涉及颈部软组织病变的初步诊断和急性治疗的首选方法。技术进步,特别是高图像分辨率和多参数超声,提高了诊断性能。临床关注重点在于检查颈部淋巴结、唾液腺和甲状腺,以及颈部的占位性病变和炎症过程。此外,超声检查能够通过超声引导活检进行有针对性的微创组织学采集。在此背景下,检查者全面的解剖学知识和临床经验对于检查结果的质量至关重要。本文概述了与颈部超声检查相关的最重要的检查结果,并强调了这种成像方式在耳鼻喉科医生手中的相关性。

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