Anderson J M, Lee T G, Nagel N
Obstet Gynecol. 1976 Sep;48(3):359-62.
The use of ultrasound in obstetrics is well established; however, its use in nonobstetric disease during pregnancy has not been emphasized. A diagnostic work-up during pregnancy is complicated by the fact that many of the usual tests require radiation to the fetus. This paper presents 3 cases in which ultrasonic scanning contributed to the diagnosis of nonobstetric disease during pregnancy. Postitive findings included enlarged edematous pancreas, gallstones, and splenomegaly. In 1 case, the finding of a normal gallbladder was helpful. When usual diagnostic procedures such as oral cholecystogram, retrograde endoscopic pancreatography, and nuclear medicine scans are perhaps contraindicated during pregnancy, the ultrasound scan is the diagnostic test of choice.
超声在产科的应用已得到充分确立;然而,其在孕期非产科疾病中的应用尚未得到重视。孕期进行诊断性检查很复杂,因为许多常规检查需要对胎儿进行辐射。本文介绍了3例超声扫描有助于诊断孕期非产科疾病的病例。阳性发现包括胰腺肿大伴水肿、胆结石和脾肿大。在1例病例中,胆囊正常的发现很有帮助。当孕期可能禁忌进行诸如口服胆囊造影、逆行内镜胰胆管造影和核医学扫描等常规诊断程序时,超声扫描是首选的诊断检查。