【摘要】 目的 探討彈性成像在甲狀腺微小癌診斷中的應(yīng)用價值?！》椒ā』仡櫺苑治鰪?007年12月-2008年4月間經(jīng)病理證實的10例甲狀腺微小癌患者共11個病灶的超聲表現(xiàn)?！〗Y(jié)果 彩色多普勒超聲診斷甲狀腺微小癌8例8個病灶，利用彈性成像技術(shù)診斷10例10灶。傳統(tǒng)彩色多普勒超聲對甲狀腺微小癌的診斷率為72.7%；利用彈性成像技術(shù)對甲狀腺微小癌的診斷率為90.9%?！〗Y(jié)論 彈性成像技術(shù)對于甲狀腺微小癌是對彩色多普勒超聲檢查的有益的補充，能夠顯著提高超聲對甲狀腺微小癌診斷的準確性。【Abstract】 Objective To evaluate the application of US-elastography in diagnosis of thyroid microcacinoma. Methods The images of color ultrasound and ultrasound elastography from 11 lesions of 10 patients with thyroid micro-carcinoma diagnosed via histopathology between December 2007 and April 2008 were retrospectively analyzed. Results Eight patients with eight lesions were found by colour ultrasound and 10 patients with 10 lesions were observed by ultrasound elastography. The diagnosis accurate rate of ultrasonography was about 72.7% and of ultrasound elastography was about 90.0%. Conclusion US-Elastography is a beneficial addition in diagnosis of thyroid microcacinoma by colour ultrasound. It can remarkably develop the accurate rate of the diagnosis of the disease.
【摘要】 目的 分析超聲對腺性膀胱炎的誤、漏診原因，探討減少其誤、漏診的方法。 方法 回顧性分析2006年1月-2010年2月經(jīng)病理證實的135例腺性膀胱炎的聲像圖表現(xiàn)?！〗Y(jié)果 135例腺性膀胱炎患者中，超聲誤診26例，誤診率19.3%，漏診11例，漏診率8.2%。誤診的主要原因：乳頭結(jié)節(jié)型和團塊型與膀胱腫瘤聲像圖極為相似、容易混淆，超聲醫(yī)師對膀胱壁各層次的觀察不仔細，對病史重視不夠；漏診的主要原因：膀胱充盈不佳或不充盈，病變體積太小、位于前壁或頂部，或病變位于膀胱后壁及頸部被明顯增生的前列腺、膀胱內(nèi)血凝塊及膀胱結(jié)石等掩蓋?！〗Y(jié)論 超聲是診斷腺性膀胱炎常用方法，但存在一定的誤、漏診，改進檢查方法，可減少其誤、漏診發(fā)生。【Abstract】 Objective To analyze the reasons of missed diagnosis and misdiagnosis of glandularis cystitis by ultrasonography. Methods The sonographic outcomes of 135 patients with glandular cystitis diagnosed by pathological examination from January 2006 to February 2010 were retrospectively analyzed. Results In 135 patients, misdiagnosis was in 26 with a rate of 19.3%, missed diagnosis was in 11 with a rate of 8.2%. The reasons of misdiagnosis included: the sonographic outcomes of mastoid and tuberculous conglomeration were similar to those of bladder tumour; the ultrasonographic professionals didn’t clearly observe each layer of the bladder wall, and didn’t pay enough attention to the disease history. The reasons of missed diagnosis included: the bladder was under-filled or unfilled, the size of the lesions were too small and were located at the anterior wall or the top, and the lesions were located at the posterior wall and neck of the bladder which were covered up by obvious prostate hyperplasia,and gores or stones of bladder so that the lesions could not be observed. Conclusion Ultrasonography is a usual method for diagnosing glandular cystitis,and we should ameliorate the examination to decrease the misdiagnosis and missed diagnosis.
目的 探討高頻超聲對睪丸卵黃囊瘤的診斷價值。 方法 2005年3月－2011年5月11例經(jīng)手術(shù)及病理檢查證實為睪丸卵黃囊瘤患者，將其超聲影像資料進行回顧性分析。 結(jié)果 11例睪丸卵黃囊瘤聲像圖表現(xiàn)為：邊界清楚9例；形態(tài)規(guī)則8例；混合回聲5例，低回聲3例，等回聲3例；內(nèi)部血流信號豐富8例；伴鈣化2例，液化5例。 結(jié)論 睪丸卵黃囊瘤的高頻超聲表現(xiàn)有一定的聲像特征，結(jié)合臨床癥狀、血清學(xué)檢查，對其有重要的診斷價值，是診斷睪丸卵黃囊瘤的首選方法。
目的 討論超聲引導(dǎo)下單純性腎囊腫穿刺治療術(shù)的護理配合措施。 方法 對2009年6月－2010年6月120例單純性腎囊腫老年患者行超聲引導(dǎo)下穿刺治療的方法及護理配合措施進行回顧性分析。 結(jié)果 120例患者全部手術(shù)成功，無并發(fā)癥發(fā)生，經(jīng)6個月隨訪，無效1例，顯效7例，效果明顯112例。 結(jié)論 單純性腎囊腫老年患者行超聲引導(dǎo)下穿刺治療術(shù)，其護理配合是順利完成治療，避免并發(fā)癥發(fā)生的關(guān)鍵。
目的 探討甲狀腺髓樣癌的超聲聲像圖特點，以提高超聲診斷水平。 方法 回顧性分析2006年1月－ 2010年9月經(jīng)手術(shù)切除及病理組織學(xué)證實的16例甲狀腺髓樣癌20個結(jié)節(jié)的超聲聲像圖表現(xiàn)。 結(jié)果 20個甲狀腺髓樣癌結(jié)節(jié)中，結(jié)節(jié)呈低回聲20個，結(jié)節(jié)內(nèi)部有鈣化灶者13個，結(jié)節(jié)內(nèi)血流豐富者13個，合并有甲狀腺乳頭狀微小癌1例，頸部淋巴結(jié)腫大17例。 結(jié)論 甲狀腺髓樣癌具有一定的超聲聲像圖特點，了解這些特點可以提高超聲對甲狀腺髓樣癌的診斷水平。