Parisi L, Maranghi P, Tramonti M, Salesia G, Vallone F, Cecchi M, Giambi F
Radiol Med. 1981 Dec;67(12):939-48.
The authors report the principle data resulting from the study of 43 patients presenting pulsating abdominal masses: 21 aneurysms of the aorta have been documented, and the comparative results between echography and angiography compared with operatory findings in 15 patients. With echography, reliable diagnostic precision regarding the form and dimensions of the aneurysmatic cavity is possible, and above all, the exclusion or confirmation of the presence of blood clots is allowed. The vascular situation, especially of the principle collateral branches, is better defined by aortography. Echography offers advantages not only in the survey of patients with high operation risk aneurysms, and other pulsating abdominal masses as well, but brings into evidence retroperitoneal fibrosis circumscribing the aneurysm. Last, it is preferable in the follow up of vascular prosthesis after surgery.
作者报告了对43例有搏动性腹部肿块患者进行研究所得的主要数据：已记录21例主动脉瘤，并对15例患者的超声检查与血管造影结果及手术所见进行了对比。通过超声检查，可以获得关于动脉瘤腔形态和大小的可靠诊断精度，最重要的是，可以排除或确认是否存在血凝块。主动脉造影能更好地明确血管情况，尤其是主要侧支血管的情况。超声检查不仅在评估手术风险高的动脉瘤患者及其他搏动性腹部肿块时具有优势，还能显示围绕动脉瘤的腹膜后纤维化。最后，在术后血管假体的随访中，超声检查也是更可取的。
