超声造影在判别急性胰腺炎腹腔聚集物中的价值
详细信息    查看官网全文
摘要
了解超声造影在鉴别诊断急性胰腺炎腹腔聚集物与周围活性组织中的价值。纳入30位急性胰腺炎患者,先行腹腔常规超声检查,再行超声造影检查,记录常规超声及超声造影特征并作出诊断。常规超声确诊36处腹腔聚集物,7处不能确诊,超声造影诊断32处腹腔聚集物,超声造影显示腹腔局部聚集物为无增强,易与周边活性组织鉴别。超声造影可以明确腹腔聚集物的数量,可以帮助超声医生鉴别急性胰腺炎局部聚集物及活性组织。
To explore optimization conditions of dynamic three-dimensional contrast-enhanced ultrasonography(3D-CEUS) in liver tumors. 30 liver tumors were performed with dynamic 3D-CEUS.The conbinations of contrast agent dose and scan angle were as follows:2ml/85、2ml/65°、2ml/45°、1.2ml/85°.Analyzing the completeness and clarity of three-dimensional tomography images and spacial vascular images of liver tumors with Q-LAB software.When choosing 2.0ml/85°,25 liver tumors imagings(83%) were complete,when 2.0ml/65°,19 liver tumors imagings(63%) were complete,when 2ml/45°,10 liver tumors imagings(33%) were complete,when 1.2ml/85°,1.8 liver tumors imagings(63%) were complete. Higher scan angle was, corresponding More clear three-dimensional tomography images and spacial vascular images were. Choosing the condition of 2ml/85°can display more complete three-dimensional tomography images and spacial vascular images of liver tumors,3D-CEUS imaging is a supplement to 2D-CEUS,3D-CEUS can spacially display perfusion characteristics of liver tumor with rich blood supply,Especially the tumor feeding vessels.
引文
[1]中华医学会外科学分会胰腺外科学组.急性胰腺炎诊治指南(2014版).中华消化外科杂志.2015.14(1):1-5.Pancreatic Surgery Group of Surgery Branch of Chinese Med ical Association.Guidelines for the diagnosis and treatment of acute pancreatitis(2014 edition).Chin J Dig Surg.2015.14(1):1-5
    [2]杨明,王春友.《急性胰腺炎诊治指南(2014版)》热点问题解读.中华消化外科杂志.2015.14(1):13-16.Yang ming,Wang chunyou.Understanding of the Guidelines for the Diagnosis and Treatment of Acute Pancreatitis(2014edtion):Hot issues of surgical treatment of acute pancreatitis.Chin.J Dig Surg,2015,14(1):13-16
    [3]Banks P A,Bollen T L,Dervenis C,et al.Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus[J]Gut,2013,62(1):102-111.
    [4]Morgan DE,Baron TH,Smith JK,et al.Pancreatic fluid col lections prior to intervention:evaluation with MR imaging compared with CT and US.Radiology.1997;203:773–778.
    [5]Stringfellow G,Vansonnenberg E,Casola G,et al.Management of Fluid Collections in Acute Pancreatitis.The Pancreas:An Inte grated Textbook of Basic Science,Medicine and Surgery.2nd ed.Malden,MA:Blackwell Publishing Limited;2009:344–355.
    [6]Wroński M,Cebulski W,Karkocha D,et al.Ultrasound guided percutaneous drainage of infected pancreatic necrosis[J].Sur gical endos copy,2013,27(8):2841-2848.
    [7]钟跃,罗燕。超声造影对急性重症胰腺炎的诊断价值初探.中华超声影像学杂志。2010,19(6):495-497.Zhong yue,Luo yan.Preliminary study in detecting acute severe pancreatis with contrast enhanced ultrasound.Chin J Ultraso nogr,2010.2010,19(6):495-497.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700