颯田 哲哉¹, 小島 宏¹, 佐藤 健², 永田 博², 伊藤 洋一²

Tetsuya SATTA¹, Hirosi KOJIMA¹, Tsuyosi SATOU², Hirosi NAGATA², Youiti ITOU²

¹名古屋大学第二外科, ²愛知県厚生連昭和病院

¹Surgery 2, Nagoya University School of Medicine, ²Surgery, Showa Hospital

キーワード : Movement during respiration, Intraabdominal adhesion, Ultrasonography

We examined 71 patients with intraabdominal diseases using "The intraabdominal organ movement during respiration" (MR) method. Ultrasonographic diagnosis by this method reveals that main lesion movement from surrounding organs during respiration means there is no adhesion between the two, and main lesion movement with surrounding organs during respiration means there is adhesion between the two. After laparotomy, an evaluation of operative findings and the ultrasonographic diagnoses was performed. Accuracy 90.1% Sensitivity 88.3% Specificity 90.6%. This evaluation indicates a correlation between intraabdominal organ movement during respiration and intraabdominal adhesion. Diagnosis of intraabdominal adhesion, making use of the intraabdominal organ movement during respiration, has an advantage in the staging of malignancy, determining of the incision point, the follow-up treatment of the malignant disease and survey of the abdominal puncture point.