Lazzari G, Ricci Petitoni G, Trocchi V, Sermasi O, Morsiani M, Ricci Maccarini P
Servizio di Radiologia, Ospedale Nuovo, Imola, Bologna.
Radiol Med. 1994 Dec;88(6):778-83.
Ultrasonography (US) plays a major role in the study of the anterior and lateral abdominal wall. Our experience refers to 150 patients examined over a 5-year period, who were divided into two groups according to disease etiology: 72 patients suffered from iatrogenic and 78 from non-iatrogenic conditions. The first group was mainly composed of alterations caused by anticoagulation therapy, e.g., hematomas, and recent or previous surgery, i.e., 19 incisional hernias and 19 inflammatory-abscess processes. The second group included above all 32 cases of abdominal wall hernia, 18 neoplasms, 13 traumas with abdominal wall involvement only and 12 inflammatory processes. US yielded valuable pieces of information to diagnose iatrogenic conditions, even for small or non-relevant conditions. Moreover, US allowed non-iatrogenic conditions to be located and identified, accurately demonstrating abdominal wall layers involvement. US was also very useful in the patients whose physical examination is of no use or difficult, e.g., in the patients with much pain and trauma or obese patients. CT was used in selected cases only, as a complement to US, when a more detailed spatial assessment of wide or deep lesions was necessary.
超声检查（US）在腹壁前部和侧部的研究中发挥着重要作用。我们的经验来自于5年内检查的150例患者，这些患者根据疾病病因分为两组：72例为医源性病因，78例为非医源性病因。第一组主要由抗凝治疗引起的改变组成，例如血肿，以及近期或既往手术，即19例切口疝和19例炎症性脓肿。第二组主要包括32例腹壁疝、18例肿瘤、13例仅累及腹壁的创伤和12例炎症性病变。超声检查为诊断医源性疾病提供了有价值的信息，即使是对于小的或不相关的疾病。此外，超声检查能够定位和识别非医源性疾病，准确显示腹壁各层的受累情况。超声检查在体格检查无用或困难的患者中也非常有用，例如在疼痛和创伤严重的患者或肥胖患者中。仅在必要时，即在需要对广泛或深部病变进行更详细的空间评估时，CT才作为超声检查的补充用于选定的病例。
