Publication date: Available online 12 May 2017
Source:Revue des Maladies Respiratoires
Author(s): P. Richard
Le diaphragme est le muscle le plus impliqué dans la respiration. Son exploration morphologique repose habituellement sur la radiographie pulmonaire, la fluoroscopie, le scanner thoracique et l'imagerie par résonance magnétique. Son fonctionnement est évalué par les épreuves fonctionnelles respiratoires classiques et la mesure des pressions maximales inspiratoires et expiratoires, la pression transdiaphragmatique voire un électromyogramme. L'échographie est une technique encore insuffisamment utilisée en pneumologie. Elle offre pourtant de nombreux avantages : facile à mettre en œuvre, non irradiante, mobilisable au lit du patient, en particulier lorsqu'il est invalide ou en réanimation. Les résultats de l'exploration sont immédiats. Elle permet une étude morphologique mais aussi dynamique de chaque hémidiaphragme ainsi que de précieux renseignements de son environnement thoracique mais aussi sous-diaphragmatique. Son champ d'exploration est extrêmement large : ascension de coupole, dyspnée au décours d'un accident vasculaire cérébral ou d'un acte chirurgical (thoracique ou abdominal), traumatisme de la route, diagnostic et suivi évolutif d'une parésie ou paralysie, évaluation de sa mobilité au cours de la BPCO (bronchopathie chronique obstructive) et de bien d'autres pathologies. L'échographie est insuffisamment utilisée pour la pathologie pleurale et encore moins pour évaluer la morphologie et la fonction du diaphragme.The diaphragm is the muscle most implicated in breathing. Its morphological exploration usually depends on pulmonary radiography, fluoroscopy, CT-scanning and MRI. Its function is evaluated by the classical respiratory functional tests, the measurement of maximum inspiratory and expiratory pressures, the transdiaphragmatic pressure and even an electromyogram. Ultrasound is a technique still insufficiently used in respiratory medicine. It offers, however, many advantages: it is easy to implement, there is no irradiation, it is usable at the bedside, particularly when the patient is immobile or in intensive care. The results of the examination are immediately available. It allows morphological and dynamic study of each hemidiaphragm as well as providing invaluable information on the thoracic and subdiaphragmatic environment. Its field of exploration is extremely wide: raised hemidiaphragm, dyspnea following a stroke or a surgical procedure (thoracic or abdominal), road accident trauma, diagnosis and follow-up of a paresis or paralysis, evaluation of diaphragmatic mobility during the course of COPD (Chronic Obstructive Pulmonary Disease) and many other pathologies. Ultrasound is insufficiently used in pleural disease and even less so in the evaluation of the morphology and function of the diaphragm.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
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00302841026182
00306932607174
alsfakia@gmail.com
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