寒性脓肿的超声诊断价值及其分型 - 第三军医大学学报.DOCVIP

Ultrasonic diagnostic value and classification of cold abscess TIAN Peng1、2 TAO Wen-hong1 WANG Hui1 ZENG Wei1DU Yi-li*1 CAO Yong-zheng1 PENG Ge-hong1 (1·Department of Ultrasound , Affiliated Hospital of Zunyi Medical College,Guizhou,Zunyi 563003, China;2·Department of Ultrasound, Daqing Oil Field General Hospital, Heilongjiang Daqing 163001, China) [Abstract] Objective To probe the ultrasonic diagnostic value in cold abscess and classify the sonographic appearance of cold abscess.Methods The clinical data and ultrasonic appearances of 121 patients with cold abscess were compared with the pathology.The ultrasonic images were classified.Results The 121 patients can be departed 4 types according to the echo of the focus. Type 1: totally anechoic , 54.08%(53/98);Type 2:partly anechoic,33.68%(33/98);Type3:mixedly echoic, 8.16%(8/98);Type 4:nubble,4.08%(4/98)。And there was 102 patients of Type trunk and 19 cases of Type limbs according to the position of the nidus.Conclusions The sonographic diagnosis and classify of cold abscess is valuable to the clinic.The ultrasound-guided cold abscess could be carry out if necessary. It can provide an accurate information to the clinic. [Key words] chronic abscess，cold abscess，psychrapostema? 寒性脓肿的超声诊断价值及其分型 田鹏1、2 陶文鸿1王慧1曾炜1杜毅力1 曹永政1彭格红1 （1 遵义医学院附属医院超声科，贵州，遵义，563003；2 大庆油田总医院超声科，黑龙江，大庆，163001） [摘要] 目的 探讨寒性脓肿的超声诊断价值及其分型。方法 对121例寒性脓肿的临床资料,超声表现与病理进行对比分析,并行超声分型。结果 121例寒性脓肿中,超声提示寒性脓肿可能98例，诊断正确率为80.99%。98例寒性脓肿根据超声表现可分为四型:1完全无回声型,占54.08%(53/98);2部分无回声型,占33.68%(33/98);3混合回声型,占8.16%(8/98);4结节型,占4.08%(4/98)。根据病灶所在部位分为躯干型102例和四肢型19例。结论 超声对寒性脓肿的诊断及分型有较高的临床价值,必要时可行超声引导下活检，为临床提供准确的信息。 [关键词] 寒性脓肿;超声检查 近年来,结核的发病率呈上升趋势,肺结核并发肺外结核,或肺结核已治愈或自然痊愈之后出现肺外结核者并不少见。肺外结核中的脊椎结核、淋巴结结核及胸壁结核均易并发寒性脓肿。因此提高寒性脓肿的诊断率有重要的临床意义。本研究对121例寒性脓肿的临床资料、超声表现与病理对照进行分析,并尝试提出超声分型,以期提高超声对本病的诊断水平。 资料与方法 一研究对象 2006年1月至2008年11月间于我院治疗并行超声检查的121例寒性脓肿患者,其中男72例,女49例,年龄3—67岁,平均年龄(36.4±4.7)岁。所有病例均经病理证实,其中32例经超声引导下穿刺活检病理证实,余病例经外科活检或穿刺抽液病理证实。 二仪器与方法 仪器:使用TOSHIBA 　Aplio 8 及ACUSON Sequoia 512彩