Adamov N T, Afanas'eva N I, Fedorova G O
Vestn Rentgenol Radiol. 1993 Jul-Aug(4):21-5.
The authors analyze the clinical and x-ray findings in 24 patients with chronic traumatic injuries of the diaphragm. The clinical findings did not hint at a chronic traumatic injury of the diaphragm. The x-ray method was the principal in the diagnosis of the condition. A correct methodologic approach to the examination of a patient helped detect a chronic injury to the diaphragm virtually in all the cases and the type of the injury could be recognized by routine x-ray methods. Indications for the use of invasive methods of examinations were defined: pneumoperitoneum and bronchography. Computer-aided tomography failed to simplify the diagnosis of the condition in question, and in 10% of cases it was hardly informative. A scheme for staged x-ray examination of the patients has been developed with due consideration for the possible roentgeno-semiotic variants.
作者分析了24例慢性创伤性膈肌损伤患者的临床和X线检查结果。临床检查结果未提示存在慢性创伤性膈肌损伤。X线检查方法是诊断该病的主要手段。对患者进行检查时采用正确的方法有助于在几乎所有病例中发现慢性膈肌损伤，并且通过常规X线方法可识别损伤类型。明确了使用侵入性检查方法的指征：气腹造影和支气管造影。计算机断层扫描未能简化所讨论疾病的诊断，在10%的病例中几乎没有提供有价值的信息。已制定了针对患者的分阶段X线检查方案，并适当考虑了可能的X线半符号学变异情况。
