Muralidhar S, Gulati M, Kumar B, Sharma S K, Suman K, Roy P B
Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Australas Radiol. 1996 May;40(2):106-8. doi: 10.1111/j.1440-1673.1996.tb00361.x.
A study was undertaken to determine the usefulness of ultrasonography as an investigative tool, and its role in deciding the management of Peyronie's disease. Fifteen patients with Peyronie's disease were studied by ultrasonography. The plaque could be demonstrated in all patients. The dimensions of the plaque varied from less than 1 cm to more than 7 cm in length and 2-4mm in thickness. The disease was active in 26% of the patients, as indicated by the presence of hypoechoic areas around a central region of hyperechoism. Ultrasonogram was more accurate than clinical assessment in delineating the extent of lesions. In one-third of the patients, sonography demonstrated the plaques to be more extensive than had been detected by clinical examination. Calcification and activity of disease (which are clearly defined by ultrasonogram) are determining factors in the management of Peyronie's disease. This information allows the surgeon to select the modality of treatment, the timing of surgery and extent of excision. Thus, ultrasonography plays a vital role in the preliminary investigation and management of Peyronie's disease.
开展了一项研究以确定超声检查作为一种调查工具的实用性及其在决定佩罗尼氏病治疗方案中的作用。对15例佩罗尼氏病患者进行了超声检查。所有患者均能显示出斑块。斑块大小不一，长度从小于1厘米到超过7厘米，厚度为2 - 4毫米。26%的患者疾病处于活动期，表现为高回声中心区域周围存在低回声区。在描绘病变范围方面，超声检查比临床评估更准确。三分之一的患者中，超声检查显示斑块比临床检查所发现的范围更广。钙化和疾病活动度（超声检查可明确界定）是佩罗尼氏病治疗中的决定因素。这些信息有助于外科医生选择治疗方式、手术时机和切除范围。因此，超声检查在佩罗尼氏病的初步检查和治疗中起着至关重要的作用。
