超声对小肠平滑肌肉瘤的诊断价值  

Diagnostic Value of Ultrasonography for Leiomyosarcoma

作　　者：陈丽萍[1] 姚运明[1] 王小丛[1] 迟宝荣[2] 

机构地区：[1]吉林大学第一临床学院电诊科,长春市130021 [2]吉林大学第一临床学院消化科,长春市130021

出　　处：《中国全科医学》2007年第7期578-579,共2页Chinese General Practice

摘　　要：目的探讨超声对小肠平滑肌肉瘤的诊断价值。方法对17例小肠平滑肌肉瘤患者行超声检查,观察有无肿物,肿物所在部位、轮廓、内部回声及活动度,彩色多普勒超声观察肿物的血流供应。将超声诊断结果与手术及病理检查结果做比较。结果17例患者中,经超声诊断为小肠平滑肌肉瘤16例,囊性病变1例。超声可观察到肿物是否存在、存在的部位、肿物的轮廓、内部回声及活动度,彩色多普勒超声还可观察肿物的血流供应。手术及病理证实,超声检查法误诊1例,彩色多普勒超声检查的诊断结果与手术及病理结果基本一致。结论超声是一种无创、实用的实验室检查方法,可作为小肠平滑肌肉瘤的首选检查方法。Objective To investigate the value of uhrasonography in the diagnosis of leiomyosarcoma, Methods Totally 17 patients were examined with two -dimension uhrasonography to find the existence, location, outline, echo inside and activity of leiomyosarcoma and, with color Doppler ultrasound to detect blood supply of the leiomyosarcoma. The ultrasonic diagnosis results and the results found in operation and pathology were compared. Results In the 17 cases there were 16 case were by uhrasonography diagnosed as leiomyosarcoma and one case as cyst. Ultrasonic examination could find the existence, location, outline, echo inside and activity of masses; and color Doppler uhrasonography could detect the blood supply of these masses. The results found in operation and pathology proved one misdiagnosed case by uhrasonography, but the results accorded basically with the results of color Doppler uhrasonography. Conclusion Color Doppler uhrasonography is a non - invasive and useful accessory examination method, which could be the first examination to diagnose leiomyosarcoma.

关 键 词：平滑肌肉瘤 小肠 超声检查 多普勒 彩色 

分 类 号：R735.32[医药卫生—肿瘤]