超声诊断腹膜粘连的临床评价--20年文献分析

Clinical Evaluation of Ultrasound in Diagnosing Peritoneal Adhesions: a Review of Literatures in the Past 20 Years

通过对20年来腹膜粘连超声评价的有关文献分析,探讨超声评价腹膜粘连的临床意义。共29篇文献纳入分析,分为3类:超声评价腹膜粘连的方法学研究,以超声观察"内脏滑动"方法研究腹腔镜手术入路的安全性,对超声诊断腹腔内粘连的评价。通过对这些文献的分析与总结,得出以下结论:以内脏纵向滑动距离<1 cm作为诊断腹膜粘连的标准;对腹壁局部进行重点超声扫查是目前比较合理的策略;临床上可用于术前评估腹部手术、腹腔镜入路的安全性,还可用于防粘连效果的评估。

To explore the clinical significance of ultrasound in evaluating peritoneal adhesions by analyzing related literatures of the past 20 years. A total of 29 literatures were reviewed, which were divided into 3 categories ： methodology research on ultrasonic evaluation of peritoneal adhesions, research on the safety of laparoscopic surgery approach by ultrasonic assessment of Visceral sliding, and research on abdominal adhesions diagnosed by uhrasonography. By analyzing and summarizing all these literatures, the following conclusions were drawn： visceral longitudinal sliding distance of less than 1 cm is regarded as a diagnostic standard for peritoneal adhesions; ultrasound scanning of the local abdominal wall is a reasonable strategy for diagnosing visceral adhesions in the abdomen; ultrasound scanning of the abdominal wall can be used to evaluate the safety of abdominal operation and laparoscopic surgery preoperatively, as well as the anti-adhesion effect.