成人肠憩室炎的超声诊断价值

发布时间：2018-03-15 04:12

本文选题：成人肠憩室炎　切入点：超声诊断　出处：《中国超声医学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨超声检查对成人肠憩室炎的诊断价值。方法回顾性分析17例经手术及病理证实有完整超声检查资料的肠憩室炎患者的临床资料。结果 (1)17例肠憩室炎中超声正确诊断11例,符合率64.7%,误诊4例,误诊率23.5%,漏诊2例,漏诊率11.8%。(2)超声表现为肠旁囊性包块6例、囊实性包块4例、异常肠管壁增厚1例,病变一端与正常蠕动的肠管相连,一端为盲端。结论成人肠憩室炎超声图像可表现为肠旁囊性或囊实性包块,也可表现为肠管壁增厚,采用高频与低频超声结合、适当加压和多切面观察有利于识别包块与肠管关系,提高超声诊断水平。
[Abstract]:Objective to evaluate the diagnostic value of ultrasonography in adult diverticulitis. Methods the clinical data of 17 patients with diverticulitis confirmed by operation and pathology were retrospectively analyzed. 11 cases were correctly diagnosed by ultrasound. The coincidence rate was 64.7%, misdiagnosis rate in 4 cases, misdiagnosis rate in 23.5, missed diagnosis rate in 2 cases, missed diagnosis rate in 11.8%.) Ultrasonography showed paracentral cystic mass in 6 cases, cystic and solid mass in 4 cases, thickening of abnormal intestinal wall in 1 case, and the lesion was connected with normal peristaltic intestinal canal at one end. Conclusion Adults with diverticulitis can be seen as paracystic or cystic mass, or as thickening of the wall of the intestine, which can be combined with high frequency and low frequency ultrasound. Proper pressure and multi-section observation are helpful to identify the relationship between lumps and intestinal tract and improve the diagnostic level of ultrasound.
【作者单位】：眉山市人民医院超声科;四川大学华西医院超声科;
【分类号】：R445.1;R574

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