本文選題：成人腸憩室炎　切入點(diǎn)：超聲診斷　出處：《中國超聲醫(yī)學(xué)雜志》2017年10期 　論文類型：期刊論文

【摘要】：目的探討超聲檢查對成人腸憩室炎的診斷價(jià)值。方法回顧性分析17例經(jīng)手術(shù)及病理證實(shí)有完整超聲檢查資料的腸憩室炎患者的臨床資料。結(jié)果 (1)17例腸憩室炎中超聲正確診斷11例,符合率64.7%,誤診4例,誤診率23.5%,漏診2例,漏診率11.8%。(2)超聲表現(xiàn)為腸旁囊性包塊6例、囊實(shí)性包塊4例、異常腸管壁增厚1例,病變一端與正常蠕動的腸管相連,一端為盲端。結(jié)論成人腸憩室炎超聲圖像可表現(xiàn)為腸旁囊性或囊實(shí)性包塊,也可表現(xiàn)為腸管壁增厚,采用高頻與低頻超聲結(jié)合、適當(dāng)加壓和多切面觀察有利于識別包塊與腸管關(guān)系,提高超聲診斷水平。
[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.
【作者單位】： 眉山市人民醫(yī)院超聲科;四川大學(xué)華西醫(yī)院超聲科;
【分類號】：R445.1;R574

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1 司建榮;;空腸憩室炎:臨床和放射學(xué)特征[J];國外醫(yī)學(xué)(臨床放射學(xué)分冊);1992年02期

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本文編號：1614362