腹膜假黏液瘤的超声诊断及其与CT结果对照

发布时间：2018-03-13 03:29

本文选题：腹膜假黏液瘤　切入点：超声　出处：《中国医学科学院学报》2015年04期 　论文类型：期刊论文

【摘要】：目的探讨超声对腹膜假黏液瘤(PMP)的诊断价值,总结其声像图特点,并与CT结果对照。方法回顾分析经本院手术病理证实的25例PMP的术前超声及CT检查资料。结果 25例患者超声提示腹膜假黏液瘤3例,CT提示6例,两者诊断符合率差异无统计学意义(P=0.579)。PMP的超声特征性声像图表现为:腹腔积液内见密集点状回声或絮状物,随体位不移动或移动性差;病变呈蜂窝样;胶冻样黏液和/或黏液性病变在肝脾表面形成压迹。结论目前超声与CT对PMP诊断率均低;PMP有特异性声像图表现,大多数病例术前超声诊断是可能的。
[Abstract]:Objective to evaluate the diagnostic value of ultrasonography in peritoneal pseudomyxoma (PMP), and to summarize its sonographic features. Methods the preoperative ultrasound and CT findings of 25 cases of PMP proved by operation and pathology in our hospital were analyzed retrospectively and compared with the results of CT. Results in 25 cases, 3 cases of pseudomyxoma of peritoneum were revealed by ultrasound and 6 cases by CT. There was no significant difference in the diagnostic coincidence rate between the two groups. The sonographic features of the sonography were as follows: dense punctate echo or flocculent substance was found in peritoneal effusion, and the lesion was honeycomb. Conclusion Ultrasound and CT have low diagnostic rate of PMP and the diagnostic rate of PMPs is low, most of them can be diagnosed by ultrasonography before operation. The results show that there is a pressure-trace on the surface of the liver and spleen of gelatinous mucinous and / or mucinous lesions. Conclusion the diagnostic rate of PMP is low by ultrasonography and CT at present.
【作者单位】：中国医学科学院北京协和医学院北京协和医院超声医学科;中国医学科学院北京协和医学院北京协和医院放射科;
【分类号】：R735.5;R445.1;R730.44

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