实时三维超声在胸腹腔占位性病变诊断中的临床价值.pdfVIP

376 西部医学2008年3月 第2O卷第2期 Med J West China，March 2008，Vo1．20，No．2 实时三维超声在胸腹腔占位性病变诊断中的临床价值 邹翰琴，肖 蓉，王 可，徐晓茜，杨小立，于 丽 (宜宾市第二人民医院功能科，四川宜宾644000) 【摘要】 目的 探讨实时三维超声在胸、腹腔脏器疾病诊断中的临床应用价值。方法 分别对38例胸腔占位性病 变、31例肝脏实性占住性病变和11例膀胱内肿块的患者应用全身彩超仪进行实时三维超声检查与血流检测，并与二维 超声检查进行对比。结果 38侧胸腔占住性病变，二维超声检出28例(73．4 )，三维超声检出36例(94．7％)；31例肝 脏实性占位性病变，二维超声检出22例(71．O )，三维超声检出3O例(96．8 )；11倒膀胱内病变，二维超声检出9例 (81．8 )，三维超声全部检出(100．o％)。结论 三维超声成像技术对胸、腹腔脏器肿块的诊断较二维超声更为准确、可 靠，立体感更强，临床应用价值更高。 【关键词】 实时三维超声； 二维超声； 胸腔； 腹腔； 占住性病变 【中围分类号】 R445．1 【文献标识码】 A 【文章编号】 1672-3511(2008)02—0376—02 3一D live ultrasonic technology in the diagnosis of thoracic and abdominal space一0ccupying lesions ZOU Han—qin，XIAO Rong，WANG Ke，et al (Functional Dept．of No．2 People’S Hospital of Yibin，Yibin 644000,Sichuan，China) [Abstract] Objective To investigate the clinical value of the 3-D live ultras0n0graphy in the diagnosis of the thoracic and abdominal diseases．Methods Thirty—eight cases of thoracic space—occupying lesions，31 cases of hepatic substantial space—occupying loci and 1 1 cases of urinary bladder tumors were examined respectively by live 3-D ultras0n0graphy with a color ultrasonoscope and the results were compared with that by 2-dimension ultras0n0graphy． Results Among 38 cases of thoracic space—occupying lesions，28 cases were found out by 2-d ultras0n0graphy with a detective rate of 73．4 and 36 by 3-D live ultras0n0graphy with a detective rate of 94．7 ．Among 31 cases of hepatic substantial space—occupying foci，22 were detected by 2-d ultras0n0graphy with a detective rate of 71．O and 30 by 3-D live ultras0n0graphy with a rate of 96．8 ． Nine cases of urinary bladder tumors were sought out by 2-d ultras0n0graphy with a r