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超声显像对原发性腹膜恶性间皮瘤的诊断价值

Value of ultrasonography in diagnosing primary malignant mesothelioma

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【作者】 向莎利; 王宏; 张映辉;

【Author】 XIANG Sha-li,WANG Hong,ZHANG Ying-hui Department of Ultrasound,The First Affiliated Hospital,Kunming Medic al College,Kunming 650032,China

【机构】 昆明医学院第一附属医院超声科; 昆明医学院第二附属医院超声科 云南昆明650032; 云南昆明650032; 云南昆明650101;

【摘要】 目的:对照手术病理,分析原发性腹膜恶性间皮瘤超声显像的表现。方法:对照超声像图,回顾性总结8例经手术和尸解证实的原发性腹膜恶性间皮瘤病例。结果:声像图特点为:①壁层腹膜弥漫增厚似胎儿胎盘,脏层腹膜增厚常见消化道,充气肠袢被增厚腹膜包裹及粘连形成较大肿块,呈假肾征声像。②中-大量腹水。在超声引导下用自动活检枪取材病检效果好。结论:超声显像对该肿瘤诊断与鉴别诊断很有价值。

【Abstract】 Objective:To analyze the ultrasonography of pr imary malignant mesothelioma.Method:Comparing the pictures from ul-trasound,eight primary malignant m esothelioma cases proved by operation or autopsy were reviewed.Result:The result showed the char-acteristics of primary malignant me sothelioma from ultrasonography as following:①The parietal peritoneum was thicken ed like placen-ta,and the visceral peritoneum was a lso thickened.It was often shown that the digestive system and intestinal loops were surrounded by those thickened peritoneum.They we re stuck together and then became a la rge mass.They looked like pseudoren al sign or ring target sign.②There were large amount or medium amo unt of ascites.Biopsy should be performed under the guidance of ultra-sound.Conclusion:It is very useful and helpful for diag nosing and distinguishing primary mesothelioma by ultrasonography.

【关键词】 腹膜肿瘤; 间皮瘤; 超声检查;
【Key words】 peritoneal neoplasms; mesotheliom a; ultrasonography;
  • 【文献出处】 中国临床医学影像杂志 ,Journal of China Medical Imaging , 编辑部邮箱 ,2001年04期
  • 【分类号】R730.4
  • 【被引频次】9
  • 【下载频次】61
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