本文關(guān)鍵詞：慢性放射性直腸炎經(jīng)直腸超聲表現(xiàn)　出處：《中國醫(yī)學(xué)影像技術(shù)》2016年10期 　論文類型：期刊論文

  更多相關(guān)文章： 慢性放射性直腸炎 經(jīng)直腸 超聲檢查

【摘要】：目的觀察慢性放射性直腸炎的經(jīng)直腸超聲表現(xiàn)。方法對52例晚期宮頸癌放療后發(fā)生慢性放射性直腸炎患者行經(jīng)直腸超聲檢查,其中7例已行橫結(jié)腸造瘺(造瘺組),45例未行橫結(jié)腸造瘺術(shù)(非造瘺組),采用二維灰階超聲觀察并記錄可探及范圍內(nèi)直腸腸壁厚度和層次、潰瘍及直腸陰道瘺等情況;能量多普勒觀察腸壁血流,并根據(jù)Limberg標(biāo)準進行分級。分析腸壁厚度與血供分級的相關(guān)性;比較造瘺組與非造瘺組患者病變腸壁厚度、血流情況。結(jié)果 52例患者病變腸壁平均厚度(7.88±2.05)mm,腸壁血供Ⅲ~Ⅳ級35例(35/52,67.31%);腸壁厚度與血供分級存在相關(guān)性(rs=0.48,P0.01);造瘺組與非造瘺組患者腸壁厚度、血供分級的差異均有統(tǒng)計學(xué)意義(P均0.05)。結(jié)論慢性放射性直腸炎的經(jīng)直腸超聲特征性表現(xiàn)為病變腸管壁彌漫性增厚、血流信號增多。
[Abstract]:Objective To observe the performance of transrectal ultrasound in chronic radiation proctitis. Methods of transrectal ultrasonography in patients with chronic radiation proctitis in 52 cases of advanced cervical cancer after radiotherapy, 7 cases underwent transverse colostomy (fistula group), 45 cases without transverse colostomy (non fistula group), using gray-scale ultrasound observe and record the probe and within the scope of the rectal wall thickness and level of ulcer and rectovaginal fistula etc.; energy Doppler. Intestinal blood flow, and were graded according to the Limberg standard. The correlation analysis for the classification of bowel wall thickness and blood; comparison of fistula group and non stoma group patients with lesions of the bowel wall thickness, blood flow. Results 52 cases of patients with lesions of the bowel wall thickness (7.88 + 2.05) mm, intestinal blood supply of grade 35 cases (35/52,67.31%); intestinal wall thickness and blood supply grading correlation (rs=0.48, P0.01); group and non stoma fistula in patients with intestinal wall thickness, The blood supply of the grade differences were statistically significant (P < 0.05). Conclusion: chronic radiation proctitis by transrectal ultrasound features showed diffuse thickening of intestinal wall lesions, blood flow increased.

【作者單位】： 中山大學(xué)附屬第六醫(yī)院超聲科;中山大學(xué)附屬第六醫(yī)院結(jié)直腸外科;
【分類號】：R445.1;R730.55
【正文快照】： 放療是盆腔惡性腫瘤治療的重要方式之一,慢性放射性直腸炎(chronic radiation proctitis,CRP)是盆腔放療后的常見并發(fā)癥,主要表現(xiàn)為持續(xù)便血。CRP的診斷主要依靠病史、癥狀、腸鏡和影像學(xué)檢查[1],本研究觀察總結(jié)52例CRP患者的經(jīng)直腸超聲(endo-rectal ultrasound,ERUS)表現(xiàn),以，

本文編號：1432147