Günther R W, Kelbel C, Lenner V
J Clin Ultrasound. 1984 May;12(4):211-7. doi: 10.1002/jcu.1870120408.
The adrenals were studied prospectively with real-time ultrasound in a series of 60 healthy individuals and 13 patients with small adrenal masses sized 8-20 mm in diameter. In only one of the 60 healthy subjects was a normal adrenal gland delineated as a distinct hypoechoic structure. In all other instances only the highly echogenic suprarenal fat could be displayed. Visualization of small tumors was successful in 12 of 13 patients. The suprarenal area and small lesions were best demonstrated by a lateral intercostal approach using longitudinal and transverse scanning planes. The best access was through the 9th/10th intercostal space at the junction with the anterior and middle axillary lines on the right and the posterior axillary line on the left.
对60名健康个体和13名患有直径为8 - 20毫米的小肾上腺肿块的患者进行了前瞻性实时超声肾上腺研究。在60名健康受试者中，只有1人的正常肾上腺被描绘为一个明显的低回声结构。在所有其他情况下，只能显示高回声的肾上腺脂肪。13名患者中有12名成功实现了小肿瘤的可视化。使用纵向和横向扫描平面的外侧肋间入路能最佳地显示肾上腺区域和小病变。最佳入路是通过右侧与腋前线和腋中线交界处的第9/10肋间间隙以及左侧的腋后线。
