实时三维超声在诊断恶性肿瘤腹腔转移中的应用价值.pdfVIP

(( -t tIl癖症.. ~ 2009华第19卷鳝8期 实时三维超声在诊断恶性肿瘤腹腔转移 中的应用价值 白洁杨桂笠张华荔 山东省威海市文肇中心医院超声科，山东威海 2ω4∞ [摘要] 背景与目的:常规血液::t化、腹水枪资和以往的影像学检责诊断~性肿瘤腊脏转移的敏感性 低，剖腹探盗术又不适用于终末期患者。实时三维越声技术是近年发展起来的诊断腹腔疾病的新技术。本研究 旨在探讨实时王维超声夜恶性肿捕腹防转移诊断中的应用价值。方法:本文对28例临床诊断为恶性肿瘤需要开 腹手术患者术前分别应用工维及实时王维屈商检查腹腔情况，并将检查结果与手术及病理结果相对照。以检出 腹腔包块、腹腔淋巴结肿大、腹膜增厚、腹腔脏器及腹膜表团结节等任一征象即可诊断为胸腔转移。结果: 28 例恶性肿瘤患者，经手术证实，实际发生院院转移25例，二维及实时王维超声诊断正确率为42.86%、 92.86%， 提敏度为37.5%、 95.83%，特异度为75.0%、 75. 俏。二维及实时王维超声方法对腹腔转移结节的检出且在分别为 16%、 96%。对恶性肿瘤腹腔转移，两种方法籍异有显著性 (PO. 001) 。结论t 实时王维超声在恶性肿捕腹腔 转移诊断中具有最耍的临床意义，对腹腔转移错节的检出结果证实，实时王维超声在论断感性肿瘤腹腔转移方 面具有明显的优势，值得临床院::t1重视及应用。 [关键词] 实时三维超声: 诊断: ~恶性肿瘤: 脐眼: 转移 中图分类号: R735.5; R730.41 文献栋识码: A 文章编号: 1007-3639(2009)08-0615-04 Application of real翩time three-dlmensional ultrasound in tbe diagnosls of abdominal cavity metastasis of malignant tumor BAI Jie, YANG Gui-sheng, ZHANG Hua-feng (Department of Ul trasound Imaging, Wendeng Central Hospital of Weíhai , Weihai Shandong 264400, China) Correspondence to: BAI Jie E-ma iJ: baíjiejiaJiaOO@yahoo. com. cn [Abstract] Background and purpose: Blood biochemistry, ascites test and imaging diagnosis have low sensitivity for the diagnosis of abdominal neoplasma. And also exploratory laparotomy is not suitable for late stage patients. Real-time three-dimensional(3D) ultrasound is a new method in the diagnosis of celiac disease. We aimed to explore the application of this new tool in the diagnosis of abdominal cavity meωstases of malignant tumor. Methods; Twenty-eight patients with malignantωmorpre叩eratively underwent both 2D and real-time 3D ultrasound examination . The results were compared