Sigel B, Machi J, Ramos J R, Duarte B, Donahue P E
Ann Surg. 1984 Oct;200(4):486-93. doi: 10.1097/00000658-198410000-00010.
Real-time ultrasound imaging was employed at 122 operations for the complications of pancreatitis, adenocarcinoma, and islet cell tumors. Ultrasound was found to be useful in 69% of the operations for pancreatitis and 66% of the operations for tumor. Assistance was provided in diagnosis or definition of pathology. Help in diagnosis consisted in detecting conditions that were not found on preoperative testing or at exploration and excluding conditions that were suspected on the basis of previous diagnostic studies or findings at operation. Better definition of pathology was provided by precise localization of structures, assessment of their size and surrounding anatomy, and distinction of tissue features that helped to recognize their identity. Ultrasound was usually more helpful in defining pathology than in diagnosis. Ultrasound enabled early orientation to important landmarks, reduced the need for contrast x-ray studies, and yielded unique information about the etiology of abnormalities. Although ultrasound has a slow learning curve, we believe that its use during pancreatic operations can significantly aid the surgeon and we recommend its wider application in surgical practice.
在针对胰腺炎、腺癌和胰岛细胞瘤并发症进行的122例手术中采用了实时超声成像技术。结果发现，超声在69%的胰腺炎手术和66%的肿瘤手术中有用。它在病理诊断或明确方面提供了帮助。诊断方面的帮助包括检测术前检查或探查时未发现的情况，以及排除根据先前诊断研究或手术发现而怀疑的情况。通过对结构的精确定位、对其大小和周围解剖结构的评估以及对有助于识别其特征的组织特征的区分，能更好地明确病理。超声通常在明确病理方面比在诊断方面更有帮助。超声能够早期确定重要标志，减少对比X线检查的需求，并提供有关异常病因的独特信息。尽管超声的学习曲线较平缓，但我们认为在胰腺手术中使用超声可显著帮助外科医生，我们建议在外科实践中更广泛地应用它。
