Fischer R, Korge A, Kluger P, Puhl W
Orthopädische Klinik Universität, Orthopädische Abteilung des RKU.
Z Orthop Ihre Grenzgeb. 1994 Nov-Dec;132(6):476-81. doi: 10.1055/s-2008-1039472.
Significance of sonography in the detection of soft tissue infections is unclear and discussed controversial in literature. In a retrospective study sonograms of 40 hematomas and 23 infections were evaluated to examine the possibility of detecting infections by means of sonography alone. Accumulation of fluid, however, could not be differentiated by the established sonomorphological criteria. Especially in postoperative infections with unclear clinical pattern no differentiation between hematoma and abscess could be made. Only ultrasonically guided transcutaneous needle aspiration biopsy can prove the character of sonographic findings.
超声检查在软组织感染检测中的意义尚不清楚,且在文献中存在争议。在一项回顾性研究中,对40例血肿和23例感染的超声图像进行了评估,以检验仅通过超声检查检测感染的可能性。然而,根据既定的超声形态学标准无法区分液体的积聚情况。特别是在临床症状不明确的术后感染中,无法区分血肿和脓肿。只有超声引导下经皮穿刺针吸活检才能证实超声检查结果的性质。