Boverie J H
Sem Hop. 1981;57(5-6):279-89.
The early radiological diagnosis of peritoneal effusion (ascites or hemoperitoneum) can be achieved by studying three recesses of the peritoneal cavity : the pelvis and the paracolic gutters. The author describes a method which consists in insufflating the colon in order to obtain a better delineation of the rectum and of the internal limits of the gutters, in accumulating the fluid in each recessus by positioning the patient and in using X-ray parameters suitable for the soft tissues. The recesses are examined separately. The characteristic features of effusion are described. Three different pictures can be found, an attempt is made to define their significance due to the anatomy of the recessus and to the amount of fluid. Such a procedure was performed in 99 patients : 58 were suspected of ascites and 41 of hemoperitoneum. A diagnosis of effusion was made when the characteristic images were recognized in one or several recesses. The results were compared with the findings of laparotomy, needle puncture of paracentesis. The radiological diagnosis of peritoneal effusion was confirmed in 92% of cases. This radiological method is equal value to paracentesis for the diagnosis of hemoperitoneum and of superior value to clinical examination in ascites. The author points out the fact that effusions less than 150 ml were detected in 96% of cases. Since the radiological signs of ascites mentioned in the literature are valid only when about a litre of fluid is present, such methods should be replaced by the above mentioned radiological procedure.
盆腔和结肠旁沟，可实现对腹腔积液（腹水或血腹）的早期放射学诊断。作者描述了一种方法，该方法包括向结肠内注入气体，以便更好地勾勒直肠和沟的内部界限，通过调整患者体位使液体积聚在每个隐窝中，并使用适合软组织的X线参数。分别对各隐窝进行检查。描述了积液的特征。可发现三种不同的影像，根据隐窝的解剖结构和液体量，试图确定它们的意义。对99例患者进行了这样的检查：58例怀疑有腹水，41例怀疑有血腹。当在一个或几个隐窝中识别出特征性影像时，即可做出积液诊断。将结果与剖腹手术、穿刺抽液的结果进行比较。腹膜腔积液的放射学诊断在92%的病例中得到证实。这种放射学方法在诊断血腹方面与穿刺抽液具有同等价值，在诊断腹水方面比临床检查更具优势。作者指出，96%的病例检测到积液量少于150毫升。由于文献中提到的腹水放射学征象仅在存在约一升液体时才有效，因此此类方法应被上述放射学检查方法所取代。
