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目的通过对6例经手术、病理等证实的原发性肠系膜肿瘤分析,回顾其超声表现,以期加深认识,提高诊断符合率。方法使用SSA-240A、SI-450GEVivi-s超声检查仪对6例腹部包块患者进行超声检查观察其形态大小、部内回声及活动度。结果6例原发性肠系膜肿瘤中,5例发生于小肠系膜,1例发生于横结肠系膜。其中良性肿瘤2例,恶性肿瘤4例。超声有3例诊断符合,有3例误诊。结论原发性肠系膜肿瘤类型较多,超声对其有较大的诊断价值。和其他影像学检查比较具有实时性,可观察肿瘤活动度及活动范围。能判断肿瘤囊实性,对肿瘤血供进行评价。但超声检查易受肠气干扰。需结合病史,结合超声图像综合分析,并需与肠道肿瘤、卵巢肿瘤,腹膜后肿瘤等相鉴别。
Objective To analyze the ultrasonographic features of 6 cases of primary mesenteric tumors confirmed by surgery, pathology and so on, in order to deepen their understanding and improve the diagnostic coincidence rate. Methods Ultrasound examination was performed on 6 cases of abdominal mass with SSA-240A and SI-450GEVivi-s ultrasonography to observe the morphology, intracranial echo and activity. Results Of the 6 cases of primary mesenteric tumors, 5 occurred in the small mesentery and 1 in the transverse mesocolon. 2 cases of benign tumors, 4 cases of malignant tumors. There are 3 cases of ultrasound diagnosis, 3 cases were misdiagnosed. Conclusion There are many types of primary mesenteric tumors, and ultrasound has great diagnostic value. Compared with other imaging tests in real time, we can observe the degree of tumor activity and range of activities. To determine the solidity of the tumor capsule, the evaluation of tumor blood supply. But ultrasound is susceptible to intestinal gas interference. Need to be combined with medical history, combined with comprehensive analysis of ultrasound images, and need to distinguish with intestinal tumors, ovarian tumors, retroperitoneal tumor phase.