18例胰腺结核超声造影表现分析

发布时间：2018-03-03 00:01

本文选题：超声　切入点：超声造影　出处：《中国超声医学杂志》2015年09期 　论文类型：期刊论文

【摘要】：目的探讨胰腺结核的常规超声及超声造影的表现特点。方法回顾性分析18例经手术或穿刺活检病理证实为胰腺结核患者的超声声像图,总结其常规超声及超声造影特点。结果 18例胰腺结核均表现为局灶性胰腺结核,根据声像图表现可分为实性结节型及囊实性结节型两种类型:实性结节型(10例)表现为胰腺内低回声结节;囊实性结节型(8例)表现为胰腺内混合回声结节,结节内可见无回声区。18例局灶性胰腺结核行超声造影检查,表现为:结节边缘环状高增强,内部呈无增强(9例);结节边缘环状高增强,内部为分隔样增强(6例);结节边缘无环状高增强,内部为不均匀增强(3例)。结论超声造影对胰腺局灶性结核的诊断有一定的应用价值,为诊断提供了一种客观、有效的方法。
[Abstract]:Objective to investigate the features of conventional ultrasonography and contrast-enhanced ultrasonography in pancreatic tuberculosis. Methods 18 cases of pancreatic tuberculosis proved by operation or biopsy pathology were analyzed retrospectively. Results 18 cases of pancreatic tuberculosis showed focal pancreatic tuberculosis. According to the sonographic features, there are two types of solid nodular type and cystic solid nodular type: solid nodular type (10 cases) and cystic and solid nodular type (8 cases) of intrapancreatic hypoechoic nodules. 18 cases of focal pancreatic tuberculosis were examined by contrast-enhanced ultrasonography. The findings were as follows: high enhancement of the edge of the nodules, no enhancement in the interior, annular enhancement in the edge of the nodules, high enhancement in the periphery of the nodules, and no enhancement in the interior of the nodules. There were 6 cases with septal enhancement and 3 cases with non-uniform enhancement on the edge of nodules. Conclusion Contrast-enhanced ultrasonography has certain value in the diagnosis of focal pancreatic tuberculosis and provides an objective and effective method for the diagnosis of focal tuberculosis of pancreas.
【作者单位】：浙江大学医学院附属第一医院超声科;
【分类号】：R525;R445.1

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