目的通過(guò)總結(jié)胃腸間質(zhì)瘤（GIST）聲像圖表現(xiàn)，探討GIST超聲診斷價(jià)值。 方法2008年1月－2013年12月搜集110例經(jīng)手術(shù)和病理證實(shí)的GIST患者資料進(jìn)行回顧性分析。110例患者均行常規(guī)彩色多普勒超聲檢查，其中32例加行口服胃腸超聲造影劑檢查，5例加行經(jīng)直腸超聲檢查。 結(jié)果110例患者中彩色多普勒超聲檢查發(fā)現(xiàn)病變107例，漏診3例。在107例超聲發(fā)現(xiàn)病變的患者中，表現(xiàn)為占位病變104例，胃、腸壁增厚3例。在104例占位性病變患者中，73例表現(xiàn)為弱回聲，25例混合回聲，6例雜亂及稍強(qiáng)回聲；＜5 cm團(tuán)塊30例，5～10 cm團(tuán)塊54例，＞10 cm團(tuán)塊20例（其中＞20 cm 5例）。伴肝臟轉(zhuǎn)移12例，腹腔淋巴結(jié)長(zhǎng)大4例，腹水3例。手術(shù)及病理結(jié)果：110例GIST中來(lái)源于胃、腸91例，胃腸外間質(zhì)瘤19例；高風(fēng)險(xiǎn)間質(zhì)瘤72例，中度風(fēng)險(xiǎn)21例，低風(fēng)險(xiǎn)17例。 結(jié)論超聲檢查對(duì)GIST的病變發(fā)現(xiàn)率很高，但在定位診斷及定性診斷方面需要提高。
目的 總結(jié)超聲檢查在體檢未出現(xiàn)的問(wèn)題及其對(duì)策，提高體檢工作質(zhì)量。 方法 搜集2011年10月－12月來(lái)四川大學(xué)華西醫(yī)院參加健康體檢3.1萬(wàn)人次中超聲檢查結(jié)果出現(xiàn)問(wèn)題的超聲報(bào)告，由體檢中心工作人員將檢查結(jié)果與既往超聲檢查資料或其他影像資料對(duì)比，將所出現(xiàn)的問(wèn)題反饋給超聲檢查醫(yī)生，研究檢查結(jié)果間的出入，然后根據(jù)所出現(xiàn)的問(wèn)題制定相應(yīng)的對(duì)策。 結(jié)果 3.1萬(wàn)人次中出現(xiàn)問(wèn)題的有190人次，占0.06%。其中漏診165例（86.84%），誤診9例（4.74%），其他問(wèn)題16例（8.42%）。 結(jié)論 在超聲檢查中由于患者及醫(yī)生的原因極易出現(xiàn)漏診、誤診，超聲檢查人員應(yīng)提高責(zé)任心，保質(zhì)保量做好體檢工作這一醫(yī)療服務(wù)。
【摘要】 目的 用高頻超聲對(duì)正常女性乳腺健康體檢，探討其在臨床及乳腺普查方面的應(yīng)用價(jià)值?！》椒ā?duì)2006年1月－2009年12月間7 532例健康女性乳腺體檢聲像圖進(jìn)行分析，并對(duì)各年齡段的乳腺病變超聲結(jié)果分布情況進(jìn)行統(tǒng)計(jì)?！〗Y(jié)果 共檢出乳腺病變2 861例（37.98%），正常者4 671例（62.02%）。所有受檢者中，囊性病變1 904例（25.28%），實(shí)性病變944 例（12.53%），混合性病變13例（0.17%），伴有副乳者692例。囊性病變及實(shí)性病變單側(cè)多于雙側(cè)，混合性病變均為單側(cè)。常見(jiàn)病中，囊性病變多于實(shí)性病變，發(fā)病年齡分布在20～30歲及31～40歲年齡段?！〗Y(jié)論 高頻超聲作為女性乳腺疾病的一種常規(guī)檢查，能對(duì)乳腺占位性疾病提供較為準(zhǔn)確的診斷，對(duì)乳腺癌早期發(fā)現(xiàn)、早期診斷、早期治療提供一種科學(xué)依據(jù)。【Abstract】 Objective To explore the clinical value of high-frequency sonography for normal clinical breast examination in breast screening. Methods From January 2006 to December 2009, 7 532 healthy women underwent breast sonography. The results of sonography in the individuals with different ages were statistically analyzed. Results Breast lesions were found in 2 861 cases (37.98%) and the other 4 671 were healthy. Among all of the individuals, 1 904 cases (25.28%) had cystic lesions, 944 (12.53%) had solid lesions and 13 (0.17%) had mixed lesions. There were 692 cases of accessory mammary tissue. Unilateral cystic nodules and solid nodules were more common than bilateral ones, whereas mixed nodules were usually sunilaterally. Cystic nodules were more common than solid nodules. Most common onset of breast lesions is in the individuals with the age of 20-30 and 31-40 years. Conclusion High-frequency sonography, as an examination for normal clinical breast screening provides more accurate diagnosis and early detection of breast lesions, which can provide scientific evidence for early detection, diagnosis and treatment for breast cancer.
目的：通過(guò)超聲對(duì)185例腎上腺腫瘤診斷及漏診、誤診病例分析，尋找影響腎上腺腫瘤超聲漏診及誤診的因素。 方法：本文回顧性分析185例腎上腺腫瘤超聲與病理的資料，對(duì)超聲漏診和誤診原因進(jìn)行了分類(lèi)、歸納和總結(jié)。結(jié)果：通過(guò)185例腎上腺腫瘤的超聲檢查，超聲診斷出腎上腺病變122例，診斷正確率65.95%，明顯低于相關(guān)文獻(xiàn)報(bào)道，漏診57例，誤診6例。漏誤診率(34.05%)，明顯高于相關(guān)文獻(xiàn)報(bào)道，綜合分析其病理及影像學(xué)資料，將漏誤診原因歸納為五種：①左側(cè)腎上腺腫瘤；②小于2.0 cm的腫瘤；③混合性回聲的腫瘤；④臨床及超聲醫(yī)師對(duì)腎上腺腫瘤認(rèn)識(shí)不足；⑤誤診的主要原因是由于腫瘤巨大，造成定位困難。結(jié)論：通過(guò)對(duì)腎上腺腫瘤漏診及誤診分析，可以提高超聲診斷的準(zhǔn)確性，降低漏誤診率。
目的探討超聲對(duì)膽囊癌的診斷價(jià)值，以提高超聲和臨床對(duì)膽囊癌的早期診斷水平。 方法對(duì)2008年1月－2013年12月42例經(jīng)手術(shù)和病理檢查證實(shí)為膽囊癌患者的臨床資料與超聲結(jié)果進(jìn)行對(duì)照分析，總結(jié)膽囊癌的分型及聲像圖特征以及膽囊癌的鑒別診斷要點(diǎn)。 結(jié)果42例膽囊癌超聲正確診斷25例（59.5%），其中壁厚型膽囊癌9例，隆起型11例，實(shí)塊型5例；誤診17例（40.5%）。病理檢查結(jié)果示高分化腺癌14例，中分化腺癌16例，低分化腺癌9例，鱗狀腺癌2例，神經(jīng)內(nèi)分泌癌1例。 結(jié)論目前超聲診斷膽囊癌的正確率比較低，但由于超聲診斷的簡(jiǎn)便、快速，仍然是膽囊癌的首選診斷方法，要提高診斷水平仍需努力。
【摘要】 目的 比較腸充盈超聲檢查法與常規(guī)經(jīng)腹超聲檢查法在結(jié)直腸腫瘤中的診斷價(jià)值?！》椒ā?duì)2008年6月-2009年6月64例經(jīng)臨床病理確診的結(jié)直腸腫瘤患者分別經(jīng)腹常規(guī)超聲及腸充盈超聲檢查。在腸充盈狀態(tài)下觀察病變的形態(tài)，對(duì)病變進(jìn)行定位并觀察結(jié)直腸腫瘤的彩色多普勒血流信號(hào)。比較腸充盈超聲檢查法及常規(guī)經(jīng)腹超聲檢查法在結(jié)直腸腫瘤的檢出、定位和顯示血流的能力的差異?！〗Y(jié)果 常規(guī)經(jīng)腹部超聲檢查發(fā)現(xiàn)32例結(jié)直腸腫瘤（32/64），病灶敏感性為50%； 腸充盈超聲檢查法發(fā)現(xiàn)病灶55例（55/64）， 病灶敏感性為85.9%。經(jīng)腹常規(guī)超聲檢查的定位準(zhǔn)確率為21.9%（7/32），腸充盈超聲檢查法對(duì)結(jié)直腸腫瘤的定位準(zhǔn)確率為89.1%（49/55）。兩種方法比較差異有統(tǒng)計(jì)學(xué)的意義（Plt;0.05）?！〗Y(jié)論 腸充盈超聲檢查法在結(jié)直腸腫瘤的病變敏感性檢出、定位準(zhǔn)確性等方面優(yōu)于經(jīng)腹常規(guī)超聲檢查；而不同病理類(lèi)型的結(jié)直腸腫瘤具有不同的超聲聲像圖特征。【Abstract】 Objective To compare the diagnostic value between intraluminal contrast-enhanced hydrocolon ultrasonography and conventional transabdominal ultrasonography for of colorectal neoplasms. Methods The conventional transabdominal ultrasonography and hydrocolonic ultrasonography using an intraluminal contrast agent were performed on 62 patients from June 2008 to June 2009. The morphological features and location of the lesion were observed and the blood flow signals were observed. The different diagnostic value between conventional transabdominal ultrasonography and intraluminal contrast-enhanced hydrocolon ultrasonography was compared. Results The sensitivity of the intraluminal contrast-enhanced hydrocolon ultrasonography in the depiction of the colorectal neoplasms (55/64, 85.9%) was higher than that of the conventional transabdominal ultrasonography (32/64, 50%, Plt;0.05). And the accuracy of the intraluminal contrast-enhanced hydrocolon ultrasonography in locating the colorectal neoplasms (48/55, 87.3%) was higher than that of the conventional transabdominal ultrasonography (7/32, 53.2%, Plt;0.05). Conclusion Intraluminal contrast-enhanced hydrocolon ultrasonography is more valuable for colorectal neoplasms than conventional transabdominal ultrasonography in detecting and locating colorectal neoplasms. Colorectal neoplasms with different pathological types may have different ultrasonic features.
【摘要】 目的 探討腎上腺髓樣脂肪瘤的彩色多普勒超聲表現(xiàn)和超聲診斷價(jià)值?！》椒ā』仡櫺苑治?005年3月-2010年9月58例61個(gè)經(jīng)手術(shù)及病理證實(shí)的腎上腺髓脂肪瘤病灶的彩色多普勒超聲表現(xiàn)，對(duì)病變的大小、內(nèi)部回聲特點(diǎn)及血流特點(diǎn)進(jìn)行分析。 結(jié)果 在2005年3月-2007年12月的28個(gè)病灶超聲診斷出腎上腺病變23個(gè)，正確率82.1%；診斷為髓脂肪瘤2個(gè)，正確率7.1%；漏診1個(gè)，誤診4個(gè)。2008年1月-2010年9月，33個(gè)病灶超聲診斷出腎上腺病變30個(gè)，正確率90.9%；診斷為髓脂肪瘤19個(gè)，正確率57.6%；無(wú)漏診，誤診3個(gè)。52個(gè)病灶超聲表現(xiàn)為邊界清晰，形態(tài)基本規(guī)則，內(nèi)部呈均勻中等強(qiáng)回聲（與腎集合系統(tǒng)回聲相當(dāng)），內(nèi)部未測(cè)及血流信號(hào)， 另8個(gè)病灶表現(xiàn)為中等強(qiáng)回聲與低回聲相間?！〗Y(jié)論 腎上腺髓樣脂肪瘤具有特征性的彩色多普勒超聲聲像圖表現(xiàn)， 可用于發(fā)現(xiàn)病變并對(duì)多數(shù)腎上腺髓樣脂肪瘤做出定性診斷。【Abstract】 Objective To evaluate the value of sonographic diagnosis of adrenal myelolipoma. Methods Sonographic findings from 58 patients with pathologically proved adrenal myelolipoma from March 2005 to September 2010 were retrospectively analyzed. The size of the lesion, internal echo features, and characteristics of blood flow were observed and analyzed. Results In 28 patients with pathologically proved adrenal myelolipoma from March 2005 to December 2007, adrenal lesions was diagnosed in 23 with an accurate rate of 82.1%; adrenal myelolipoma was diagnosed in two with an accurate rate of 7.1%; missed diagnosed in one; misdiagnosed was in four. In 33 patients with pathologically proved adrenal myelolipoma from January 2008 to September 2010, adrenal lesions was diagnosed in 30 with an accurate rate of 90.9%; adrenal myelolipoma was diagnosed in 19 with an accurate rate of 57.6%; no missed diagnosed occurred; misdiagnosed was in three. The sonographic features in 52 lesions were smooth borders and homogeneous hyperechoic; no color Doppler flow signal inside was detected. Conclusion Adrenal myelolipoma has special sonographic features. Ultrasonography is a reliable imaging method for the diagnosis of adrenal myelolipoma.
本研究基于PRISMA 2009指南，對(duì)已發(fā)表動(dòng)物實(shí)驗(yàn)系統(tǒng)評(píng)價(jià)研究現(xiàn)狀及報(bào)告質(zhì)量進(jìn)行分析、咨詢相關(guān)領(lǐng)域?qū)＜液笮纬沙跏紬l目池，然后通過(guò)德?tīng)柗?輪專家咨詢完善初始條目池，最后通過(guò)共識(shí)會(huì)議修訂條目，并最終形成用于報(bào)告中醫(yī)藥動(dòng)物實(shí)驗(yàn)系統(tǒng)評(píng)價(jià)的報(bào)告指南（PRISMA-ATCM）。在PRISMA檢查表的27個(gè)條目中，有12個(gè)條目得到修訂和擴(kuò)展，具體涉及到中醫(yī)藥干預(yù)和動(dòng)物實(shí)驗(yàn)特點(diǎn)。PRISMA-ATCM的發(fā)布將有助于提高中醫(yī)藥動(dòng)物實(shí)驗(yàn)系統(tǒng)評(píng)價(jià)的透明度和規(guī)范化。