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[三维超声检查为妇产科带来新视角了吗?]

[Does 3D sonography present new perspectives for gynecology and obstetrics?].

作者信息

Steiner H, Staudach A, Spitzer D, Graf A H, Wienerroither H

机构信息

Landesfrauenklinik Salzburg.

出版信息

Geburtshilfe Frauenheilkd. 1993 Nov;53(11):779-82. doi: 10.1055/s-2007-1023726.

DOI:10.1055/s-2007-1023726
PMID:8293944
Abstract

3D-sonography opens a new chapter of ultrasound-imaging. The aim of our study was, to summarise our preliminary experiences in the clinical application of this method. One-hundred and fifty patients were investigated with the use of transabdominal transducers. The scanning is performed after targeting the three-dimensional region by the volume box. The three planes are displayed simultaneously on the screen. Analysis can be performed on any possible plane within the stored volume (tomography). Surface imaging and transparent imaging can be calculated and displayed by a work-station. Three-dimensional ultrasound makes complete imaging and documentation of sonographically investigated structures feasible. The possibility of arbitrarily often repeatable systematic analyses without risk for the patient seems to be the more important advantage than statistical simultaneous imaging. Plastic imaging of structures, especially of foetuses, in the surface and transparent modes has been made possible for the first time. Biometry can also be measured in three dimensions (volumetry). Volume documentation provides the possibility of arbitrarily repeatable "real-time" scanning. By this means, any plane can be reanalyzed, remeasured and reassessed. This kind of documentation provides advantages in clinical, scientific, didactic and legal aspects. The first experiences with this new method seem to be promising. Further studies have to be conducted to evaluate the diagnostic significance of 3D-sonography in our field of specialisation.

摘要

三维超声开启了超声成像的新篇章。我们研究的目的是总结我们在该方法临床应用中的初步经验。使用经腹探头对150例患者进行了检查。通过容积框定位三维区域后进行扫描。三个平面同时显示在屏幕上。可以对存储容积内的任何可能平面进行分析(断层扫描)。表面成像和透明成像可由工作站计算并显示。三维超声使超声检查结构的完整成像和记录成为可能。对于患者而言,能够任意多次重复进行系统分析且无风险,这一可能性似乎比统计性同步成像更为重要。首次实现了对结构,尤其是胎儿,进行表面和透明模式的立体成像。生物测量也可以在三维空间中进行(容积测量)。容积记录提供了任意重复进行“实时”扫描的可能性。通过这种方式,可以对任何平面进行重新分析、重新测量和重新评估。这种记录方式在临床、科研、教学和法律方面都具有优势。这种新方法的初步经验似乎很有前景。必须开展进一步研究以评估三维超声在我们专业领域的诊断意义。

相似文献

1
[Does 3D sonography present new perspectives for gynecology and obstetrics?].[三维超声检查为妇产科带来新视角了吗?]
Geburtshilfe Frauenheilkd. 1993 Nov;53(11):779-82. doi: 10.1055/s-2007-1023726.
2
[Current technical possibilities of 3D ultrasound in gynecology and obstetrics].[三维超声在妇产科的当前技术可能性]
Ultraschall Med. 1997 Oct;18(5):190-5. doi: 10.1055/s-2007-1000424.
3
[Three-dimensional ultrasonic diagnosis in gynecology and obstetrics].
Geburtshilfe Frauenheilkd. 1991 May;51(5):335-40. doi: 10.1055/s-2007-1026152.
4
[Current status of vaginal sonography. Part I: Basic principles and gynecologic diagnosis].
Ultraschall Med. 1994 Feb;15(1):2-10. doi: 10.1055/s-2007-1003997.
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[3d ultrasound in prenatal diagnosis].[三维超声在产前诊断中的应用]
Z Geburtshilfe Perinatol. 1993 Jan-Feb;197(1):11-9.
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[Transparent 3-D ultrasound in fetal abnormalities].[胎儿异常的透明三维超声检查]
Ultraschall Med. 1998 Jun;19(3):120-5. doi: 10.1055/s-2007-1000474.
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[3-dimensional (3D) echography in obstetrics. Advantages and limits].[产科三维(3D)超声检查。优势与局限]
J Gynecol Obstet Biol Reprod (Paris). 1997;26(5):520-4.
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[The advantages of spatial, three-dimensional ultrasound imaging in clinical application].[空间三维超声成像在临床应用中的优势]
Bildgebung. 1994 Jun;61(2):87-94.
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[Use of 3D ultrasound technique in prenatal diagnosis].[三维超声技术在产前诊断中的应用]
Ultraschall Med. 1995 Aug;16(4):154-61. doi: 10.1055/s-2007-1003931.
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[3-D ultrasound in prenatal diagnosis].[三维超声在产前诊断中的应用]
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引用本文的文献

1
Three- and 4-dimensional ultrasound in obstetric practice: does it help?产科实践中的三维和四维超声:有帮助吗?
J Ultrasound Med. 2005 Dec;24(12):1599-624. doi: 10.7863/jum.2005.24.12.1599.
2
First trimester three-dimensional ultrasound volumetry of the gestational sac.孕早期妊娠囊的三维超声容积测量
Arch Gynecol Obstet. 1994;255(4):165-70. doi: 10.1007/BF02335080.