Tachibana T, Ohmori F, Shinji Y, Miyamoto T
Department of Medicine, Osaka Prefectural Hospital.
Nihon Rinsho. 1994 Jun;52(6):1530-4.
Echocardiographic study performed by Ohmori and others revealed a statistically significant difference between sarcoidosis patients with and without left ventricular perfusion defects in regards to LVDd, LVDs, LVEF, %FS, WT and EPSS. Echocardiography is a useful noninvasive tool in addition to Thallium-201 myocardial scintigraphy, in detection of myocardial involvement of sarcoidosis. Marked swelling of abdominal lymph node and splenomegaly was found by abdominal echography, in the sarcoid patients at onset as well as in the chronic stage. Both abdominal echography and CT revealed a hepatic sarcoid mass lesion in patients with and without hepatic dysfunction. Improvement of these abdominal echographic abnormalities correlated well with clinical improvement of sarcoid lesion. In addition, muscular echographic abnormalities were found in muscular sarcoid lesion. It can be said that echography is useful in the detection and follow up of extrapulmonary lesions of sarcoidosis.
大森等人进行的超声心动图研究显示，有和没有左心室灌注缺损的结节病患者在左心室舒张末期内径（LVDd）、左心室收缩末期内径（LVDs）、左心室射血分数（LVEF）、短轴缩短率（%FS）、室壁厚度（WT）和舒张期室间隔与后壁间距（EPSS）方面存在统计学上的显著差异。除了铊-201心肌闪烁显像外，超声心动图是检测结节病心肌受累情况的一种有用的非侵入性工具。腹部超声检查发现，结节病患者在发病时以及慢性期均有明显的腹部淋巴结肿大和脾肿大。腹部超声检查和CT均显示，有和没有肝功能障碍的患者均存在肝脏结节病肿块病变。这些腹部超声异常的改善与结节病病变的临床改善密切相关。此外，在肌肉结节病病变中发现了肌肉超声异常。可以说，超声检查在结节病肺外病变的检测和随访中是有用的。
