计算机断层扫描和超声检查在恶性腹水患者腹膜后评估中的应用

Computed tomography and ultrasonography in the evaluation of the retroperitoneum in patients with malignant ascites.

作者信息

Callen P W, Marks W M, Filly R A

出版信息

J Comput Assist Tomogr. 1979 Oct;3(5):581-4. doi: 10.1097/00004728-197910000-00001.

DOI:10.1097/00004728-197910000-00001

Abstract

The computed tomographic (CT) body scans of 59 patients and ultrasonograms of 31 patients, all with malignant disease, were reviewed to determine the effect of ascites on the ability to image the retroperitoneum. In 95% of cases evaluated by CT, the retroperitoneal structures were well seen. In 35% of the cases evaluated by ultrasonography, the retroperitoneum was completely obscured by bowel gas and partially obscured in an additional 55%. As a result of this study, it is felt that CT should be the procedure of choice when a thorough evaluation of the retroperitoneum is necessary in patients with large amounts of abdominal ascites.

摘要

对59例患有恶性疾病患者的计算机断层扫描（CT）全身扫描以及31例患者的超声检查结果进行了回顾，以确定腹水对腹膜后成像能力的影响。在通过CT评估的病例中，95%的腹膜后结构清晰可见。在通过超声检查评估的病例中，35%的腹膜后完全被肠气遮挡，另有55%部分被遮挡。根据这项研究结果，认为对于有大量腹水的患者，当需要对腹膜后进行全面评估时，CT应作为首选检查方法。