超声对恶性腹膜间皮瘤的诊断价值  

Value of ultrasonography in the diagnosis of malignant peritoneal mesothelioma

作　　者：王建宏[1] 雷一鸣[1] 李涛[1] 陈宝军[1] 王宪[1] 吕海茹[1] 周敏[1] 任卫华[1] 吴开春[2] 

机构地区：[1]第四军医大学西京消化病医院超声中心,西安市710032 [2]第四军医大学西京消化病医院消化内科,西安市710032

出　　处：《临床超声医学杂志》2013年第2期98-100,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声对恶性腹膜间皮瘤(MPM)的诊断价值。方法 19例MPM患者,分析其声像图特征,评价超声对其诊断的可行性和准确性。结果 19例均可见腹膜病变增厚,位于大网膜8例,壁层腹膜6例,脏层腹膜5例;17例为"饼"样腹膜增厚,11例呈低回声,18例病变内部回声均匀,19例均见腹腔积液。结论超声可显示MPM的形态学特征,但难以做出明确诊断,需要在超声引导下经皮穿刺活检以明确诊断。Objective The aim of the present study was to evaluate the role of ultrasonography in the diagnosis of malignant peritoneal mesothelioma（MPM）.Methods The uhrasonographie characteristics of 19 patients with MPM were analyzed. The diagnostic feasibility and accuracy of ultrasonography was evaluated. Results Peritoneal thickening was found in all the cases, and 8 cases of peritoneal lesions were located in omentum, 6 cases in parietal peritoneum and 5 cases in parietal peritoneum. The peritoneal lesions were appeared as ＂cake＂ shape in 17 cases,as hypoecho in 11 cases and homogeneous echo in 18 cases, respectively. Ascites was shown in all cases. Conclusion Ultrasonography can show the morphologic characteristics of malignant peritoneal mesothelioma but can＇t make a definite diagnosis. The malignant peritoneal mesothelioma needs to be diagnosised by percutaneous biopsy with uhrasonographic guidance.

关 键 词：超声检查 间皮瘤 腹膜 

分 类 号：R575.2[医药卫生—消化系统] R445.1[医药卫生—内科学]