腹膜假黏液瘤的超聲診斷及其與CT結(jié)果對照
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本文選題:腹膜假黏液瘤 切入點:超聲 出處:《中國醫(yī)學(xué)科學(xué)院學(xué)報》2015年04期 論文類型:期刊論文
【摘要】:目的探討超聲對腹膜假黏液瘤(PMP)的診斷價值,總結(jié)其聲像圖特點,并與CT結(jié)果對照。方法回顧分析經(jīng)本院手術(shù)病理證實的25例PMP的術(shù)前超聲及CT檢查資料。結(jié)果 25例患者超聲提示腹膜假黏液瘤3例,CT提示6例,兩者診斷符合率差異無統(tǒng)計學(xué)意義(P=0.579)。PMP的超聲特征性聲像圖表現(xiàn)為:腹腔積液內(nèi)見密集點狀回聲或絮狀物,隨體位不移動或移動性差;病變呈蜂窩樣;膠凍樣黏液和/或黏液性病變在肝脾表面形成壓跡。結(jié)論目前超聲與CT對PMP診斷率均低;PMP有特異性聲像圖表現(xiàn),大多數(shù)病例術(shù)前超聲診斷是可能的。
[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.
【作者單位】: 中國醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院北京協(xié)和醫(yī)院超聲醫(yī)學(xué)科;中國醫(yī)學(xué)科學(xué)院北京協(xié)和醫(yī)學(xué)院北京協(xié)和醫(yī)院放射科;
【分類號】:R735.5;R445.1;R730.44
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