摘要
目的 应用彩色多普勒超声诊断肠系膜血管病 ,并总结其声像图特征。方法 18例腹痛患者急诊行超声检查 ,应用高频探头测量小肠壁的厚度、病变范围、肠壁回声、肠蠕动状况、肠壁和肠系膜血流等。结果 肠系膜血管病 18例中 ,超声诊断动脉性缺血 14例 ,超声诊断符合率 85 .7% (12 / 14 ) ;静脉性缺血 4例 ,超声诊断符合率 75 .0 % (3 / 4)。全部病例经手术证实 ,超声诊断符合率 83 .3 % (15 / 18) ,假阳性 2例 (11.1% ) ,假阴性 1例(5 .6% )。结论 超声检查可通过直接征象确定该病的诊断 ,并可判断肠系膜血管栓塞的类别、范围 ,是肠系膜血管病首选的检查方法。
Objective To investigate the diagnosis of mesenteric vascular diseases by two-dimensional ultrasonography and color Doppler flow imaging (CDFI) and to summarize ultrasonographic imaging features.Methods Eighteen patients were examined by ultrasonography in emergency.The thickness,scope and echo of the wall of the small intestine,the condition of intestinal peristalsis,the blood flow of the wall of the bowel and the mesentery were measured by ultrasonography.Results The diagnosis of all the cases was confirmed by operation.The accuracy rate of ultrasonographic examination was 83.3% (15/18).Two patients were pseudo-positive( 11.1% ) and one patient was pseudo-negative( 5.6% ).Conclusions The ultrasonographic examination with directimaging features can determine the diagnosis of the disease and assess the classification and scope of mesenteric vascular diseases,hence is the first choice and an indispensable method.
出处
《中华超声影像学杂志》
CSCD
2004年第6期450-451,共2页
Chinese Journal of Ultrasonography
