Di Nardo R, Capanna G, Iannicelli E, Drudi F M, Chianta G L, Passariello R
Istituto di Radiologia, Università di Roma La Sapienza.
Radiol Med. 1994 Jul-Aug;88(1-2):49-55.
During 12 consecutive months, 680 patients with recent pelvic symptoms were examined with ultrasonography (US). In 44 patients we found evidence of intestinal disease; 19 of them exhibited pelvic complications--11 pelvic abscesses, 3 enterovesical fistulas, 2 enterovaginal fistulas and 1 enterovesicle fistula; in 11 cases the inflammation spread to the surrounding organs. Of these 19 patients, 8 had an intestinal disease in their case history, whereas symptom onset was recent in the other 11 patients. In the latter group US yielded the first diagnostic information showing a bowel disease and other diagnostic examinations with different techniques were therefore performed. In 15 patients US indicated which type of bowel disease had caused the pelvic complications, while in 4 patients US showed a bowel disease without differentiating diverticular disease from neoplasms. In all patients US results were compared with X-ray and CT findings. In 17 patients the diagnoses were confirmed at surgery. The results we obtained from this study indicate US as an accurate method to detect not only the various pelvic conditions but also to differentiate pelvic complications of intestinal conditions from diseases originating in the pelvic organs.
在连续12个月期间，对680例近期有盆腔症状的患者进行了超声检查（US）。在44例患者中，我们发现了肠道疾病的证据；其中19例出现盆腔并发症——11例盆腔脓肿、3例肠膀胱瘘、2例肠阴道瘘和1例肠泡瘘；11例炎症蔓延至周围器官。在这19例患者中，8例既往有肠道疾病史，而另外11例患者症状近期出现。在后一组患者中，超声提供了首个显示肠道疾病的诊断信息，因此采用不同技术进行了其他诊断检查。在15例患者中，超声明确了导致盆腔并发症的肠道疾病类型，而在4例患者中，超声显示肠道疾病，但未区分憩室病和肿瘤。在所有患者中，将超声检查结果与X线和CT检查结果进行了比较。17例患者的诊断在手术中得到证实。我们从这项研究中获得的结果表明，超声不仅是检测各种盆腔疾病的准确方法，而且能够区分肠道疾病的盆腔并发症与盆腔器官原发疾病。
