某岛医院超声检查疾病分析及保障体会  

Analysis of the diseases screened by ultrasound and experience of ultrasound application in a certain island clinic

作　　者：卢畅 贾兰婷 荆柯 季秀凤 张鑫 王伟军 孙吕平 黄禾菁 Lu Chang;Jia Lanting;Jing Ke;Ji Xiufeng;Zhang Xin;Wang Weijun;Sun Lyuping;Huang Hejing(Department of Ultrasound,The Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China)

机构地区：[1]海军军医大学第二附属医院超声诊断科,上海200003 [2]海军军医大学第二附属医院胃肠外科,上海200003 [3]海军军医大学第二附属医院医务处,上海200003

出　　处：《海军医学杂志》2025年第2期116-121,共6页Journal of Navy Medicine

基　　金：国家重点研发计划(2022-3.5);海军军医大学“深蓝”人才工程启航人才项目(SL34)。

摘　　要：目的调查某岛医院超声检查疾病类型,总结海岛超声保障经验。方法回顾2017年1月至2022年8月于某岛医院超声科就诊患者的超声检查结果,分析海岛超声检查疾病的类型和特点。结果共2043例患者接受超声检查,疾病种类数量76种,阳性疾病数量1579个;数量排名前5位的疾病依次为脂肪肝(13.24%)、肾结晶(12.10%)、肾结石(10.70%)、胆囊息肉(6.33%)和输尿管结石伴肾积水(6.02%)。可通过对阑尾管腔宽度和管壁层次的清晰程度的超声观察预测阑尾炎的病理分型,指导临床手术决策;应用彩色多普勒超声检测输尿管射流现象可间接判断输尿管结石患者患侧肾脏功能。结论海岛超声疾病种类多,疾病的系统分布广,要求超声医生具有较为全面的能力素质,调查海岛医院超声疾病类型可为后续海岛卫勤保障工作提供借鉴。Objective To investigate the types of diseases examined by ultrasonography in a certain island clinic,and to summarize the experience of ultrasound medical support in island area.Methods The ultrasound examination results of patients who were admitted to a certain island clinic from January 2017 to August 2022 were reviewed,and the types and characteristics of diseases examined by ultrasound were analyzed.Results A total of 2043 patients underwent ultrasound examination.There were 76 disease categories and 1579 diseases.The top five diseases were fatty liver(13.24%),kidney crystals(12.10%),kidney stones(10.70%),gallbladder polyps(6.33%)and ureteral stones with hydronephrosis(6.02%).Ultrasound could predict the pathological types of appendicitis and guide the clinical decision by observing the width of the appendiceal lumen and the layers of the appendiceal wall.Doppler⁃assessed ureteric jet could be used to determine the renal function of the affected side of ureteral calculi.Conclusion There are wide and varied disease categories in islands.Sonographers should have comprehensive abilities and qualities.This study can provide reference for the follow⁃up medical support on island area.

关 键 词：海岛 超声诊断 疾病 卫勤保障 

分 类 号：R445.1[医药卫生—影像医学与核医学]