Assessment of diaphragmatic function by ultrasonography:Current approach and perspectives  

作　　者：Alain Boussuges Sarah Rives Julie Finance Fabienne Brégeon 

机构地区：[1]Institut de Recherche Biomédicale des Armées,ERRSO,Toulon 83800,France [2]Center for Cardiovascular and Nutrition Research(C2VN),Aix Marseille Université,INSERM(1260),INRAE(1263),Toulon 83800,France [3]Service d’Explorations Fonctionnelles Respiratoires,CHU Nord,Assistance Publique des Hôpitaux de Marseille et Aix Marseille Université,IRD,APHM,MEPHI,IHU-Méditerranée Infection,Marseille 13015,France

出　　处：《World Journal of Clinical Cases》2020年第12期2408-2424,共17页世界临床病例杂志

摘　　要：This article reports the various methods used to assess diaphragmatic function by ultrasonography.The excursions of the two hemidiaphragms can be measured using two-dimensional or M-mode ultrasonography,during respiratory maneuvers such as quiet breathing,voluntary sniffing and deep inspiration.On the zone of apposition to the rib cage for both hemidiaphragms,it is possible to measure the thickness on expiration and during deep breathing to assess the percentage of thickening during inspiration.These two approaches make it possible to assess the quality of the diaphragmatic function and the diagnosis of diaphragmatic paralysis or dysfunction.These methods are particularly useful in circumstances where there is a high risk of phrenic nerve injury or in diseases affecting the contractility or the motion of the diaphragm such as neuro-muscular diseases.Recent methods such as speckle tracking imaging and ultrasound shear wave elastography should provide more detailed information for better assessment of diaphragmatic function.

关 键 词：ULTRASOUND Hemidiaphragm Motion Thickness PARALYSIS Dysfunction Two-dimensional mode M-MODE Speckle tracking imaging Ultrasound shear wave elastography 

分 类 号：R445.1[医药卫生—影像医学与核医学] R746[医药卫生—诊断学]