Alanen A, Pekkala E, Dean K, Ovaska J
Department of Diagnostic Radiology, University of Turku, Finland.
Ann Chir Gynaecol. 1995;84(1):29-32.
The correlation of preoperative sonography and intraoperative inspection and palpation of the liver with intraoperative sonography was studied in 77 patients. All underwent elective abdominal surgery for the treatment of verified malignant intra-abdominal tumours. Preoperative sonography findings differed from the intraoperative findings in 22 of the 77 patients (29%), intraoperative sonography being more reliable. Palpation differed from intraoperative sonography in 16 of 77 patients (21%), in three of whom the findings at intraoperative sonography altered therapy. Intraoperative sonography was most effective in detecting small previously undetected, nonpalable lesions deep in the liver parenchyma. There were no complications due to sonography. We recommend intraoperative sonography as a safe and diagnostically effective procedure for routine use in abdominal surgery.
对77例患者进行了术前超声检查以及肝脏的术中检查和触诊与术中超声检查的相关性研究。所有患者均接受择期腹部手术，以治疗经证实的腹腔内恶性肿瘤。77例患者中有22例（29%）术前超声检查结果与术中结果不同，术中超声检查更为可靠。77例患者中有16例（21%）触诊结果与术中超声检查不同，其中3例患者术中超声检查结果改变了治疗方案。术中超声检查在检测肝实质深部先前未发现、不可触及的小病变方面最为有效。超声检查未引起并发症。我们建议将术中超声检查作为一种安全且诊断有效的程序，常规用于腹部手术。
