阑尾黏液性肿瘤的超声诊断分析  

Analysis of Ultrasonographic Diagnosis of Appendiceal Mucinous Neoplasms

作　　者：高爽[1] 张万蕾[1] 李建国[1] 朱家安[1] 

机构地区：[1]北京大学人民医院超声科,北京市100044

出　　处：《中国超声医学杂志》2016年第8期721-723,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨阑尾黏液性肿瘤的声像图特征,提高其诊断准确率。方法分析31例阑尾黏液性肿瘤患者的术前超声表现,与手术病理结果相对照。结果病理结果:26例阑尾黏液腺瘤,5例阑尾黏液腺癌。本组1例术前超声检查未能显示病变,余30例声像图表现可分为4型:(1)阑尾盲管状结构型(3例);(2)囊性包块型(13例);(3)囊实混合性包块型(12例);(4)大量腹腔积液、网膜增厚型(2例)。结论阑尾黏液性肿瘤的超声表现具有一定的特征性,加强对本病声像图特点的认识,有助于提高超声诊断准确率。Objective To explore the sonographic features of appendiceal mucinous neoplasms and improve the ultrasonographic diagnostic rate.Methods A retrospective analysis was performed on 31 cases with appendiceal mucinous neoplasms.The pre-operative ultrasonographic findings of these cases were analysed in comparison with the surgical and pathological results.Results Pathological results：26cases were appendiceal mucinous adenoma and 5cases were appendiceal mucinous adenocarcinoma.Ultrasonographic examination failed to show one lesion,the other 30 cases sonograms could be divided into 4types：（1）typical swollen appendix（3cases）;（2）cystic masses（13cases）;（3）cystic-solid mixed masses（12cases）;（4）large peritoneal effusion and thickened greater omentum（2cases）.Conclusions There are some specific sonographic features of appendiceal mucinous neoplasms.Understanding the sonographic features of this disease are conductive to improve the ultrasonographic diagnostic rate.

关 键 词：阑尾 黏液性肿瘤 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735.36[医药卫生—诊断学]