Szolar D H, Uggowitzer M M, Kammerhuber F H, Schreyer H H
Abteilung für spezielle radiologische und sonstige bildgebende Verfahren, Universitätsklinik für Radiologie Graz.
Rofo. 1997 Aug;167(2):107-21. doi: 10.1055/s-2007-1015503.
Because of the anatomic localisation of the retroperitoneal space, the detection and elucidation of pathology in the retroperitoneum calls for clinical acumen and the utilisation of imaging techniques. During the past two decades, efforts spearheaded by the work of M. A. Meyers led to an enhanced understanding of retroperitoneal anatomy and pathology. Conventional radiographic techniques are often incapable of detecting and/or characterising retroperitoneal abnormalities. Sonography may be limited by patient-dependent-factors. CT is unaffected by bowel gas and provides discrete cross-sectional images of the organs, fascial planes and retroperitoneal compartments, making it an ideal tool for assessment of retroperitoneal disease. In clinically stable patients MRT may be a useful modality for providing helpful and additional information in characterising retroperitoneal abnormalities. In this review article the diagnostic possibilities of benign not organ-related diseases of the retroperitoneum are described. This is intended to give the reader an insight into the etiology and distribution patterns of retroperitoneal fluid and gas collections as well as into diagnosis and differential diagnosis of benign retroperitoneal diseases. The diagnostic impact of the different imaging modalities is discussed.
由于腹膜后间隙的解剖定位，腹膜后病变的检测和阐明需要临床敏锐度以及成像技术的运用。在过去二十年中，由M. A. 迈尔斯的工作引领的各项努力增进了对腹膜后解剖和病理的理解。传统的放射学技术常常无法检测和/或鉴别腹膜后异常。超声检查可能受患者相关因素的限制。CT不受肠气影响，能提供器官、筋膜平面和腹膜后间隙的离散横断面图像，使其成为评估腹膜后疾病的理想工具。对于临床状况稳定的患者，磁共振成像（MRT）可能是一种有用的检查方式，可为腹膜后异常的特征描述提供有益的额外信息。在这篇综述文章中，描述了腹膜后非器官相关良性疾病的诊断可能性。目的是让读者深入了解腹膜后液体积聚和气体积聚的病因及分布模式，以及良性腹膜后疾病的诊断和鉴别诊断。文中还讨论了不同成像方式的诊断作用。
