熱帯病や寄生虫病における超音波検査
Joachim Richter1, Christoph Hatz, Dieter Häussinger
1Clinic for Gastroenterology, Hepatology and Infectious Diseases, University Clinics, Heinrich-Heine-University, Duesseldorf, Germany. joachim.richter@med.uni-duesseldorf.de
Lancet (London, England)
|September 19, 2003
まとめ
超音波検査は,輸入された熱帯病の診断に役立ち,エキノココシスやスキストソミアシスなどの疾患に関する重要な洞察を提供します. このイメージング技術は,未知のプレゼンテーションに直面している臨床医にとって,開発途上国での広範な使用のために不可欠です.
科学分野:
- トロピカルメディシンは,熱帯医学です.
- 放射線学 放射線学
- 医学画像検査 医学画像検査
背景:
- 世界の旅行は,輸入された熱帯病に臨床医の曝露を増加させる.
- 超音波検査は,症状がはっきりしない病気の調査に不可欠です.
- 熱帯病の特定の超音波特性を熟知することは,誤診を避けるために不可欠です.
研究 の 目的:
- 様々な熱帯病の診断における超音波の有用性を強調する.
- 特定の条件に対する標準化された分類とプロトコルの重要性を強調する.
- 先進国と途上国の両方で超音波の役割を議論する.
主な方法:
- 熱帯病に対する既定および新興の超音波診断基準のレビュー.
- 世界保健機関 (WHO) の分類とガイドラインの議論.
- 肝臓病変および寄生虫感染症の微分診断における超音波の応用に関する研究.
主要な成果:
- 標準化されたWHO分類は,エチノコッコシス・キストの評価に役立ちます.
- 超音波検査は,スキストソミアシスに関連する異常を効果的に診断し,肝臓のを区別します.
- ヘルミント,フラーク,フィラリアの直接的な視覚化は,超音波で可能です.
結論:
- 超音波検査は,特に資源の限られた環境では,熱帯病の診断に不可欠なツールです.
- エキノココシスなどの複雑な疾患については,標準化されたプロトコルと新しい評価方法のさらなる開発が必要である.
- 管理アルゴリズムに関する国際的コンセンサスは,特にアメビック肝臓について,極めて重要です.
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