胰脾肾膀胱超声诊断 课件.ppt

Ultrasonography  of Pancreas,Spleen, and Urinary System;Anatomy of pancreas ; It is divided into the head ,neck , and body and a tail that usually abuts on the spleen ;Technique and Normal measurement of pancreas;胰腺疾病的超声诊断;正常声象图;胰腺超声检查测量方法与正常值;Pancreatic diameter Head =1.5-3.0cm; Body=1.2-2.5cm; Tail= 1.0-2.5cm; Main pancreatic duct3mm;正常胰腺;What do these pictures look like? Do they look like the transverse view of pancreas?;Main pancreatic duct：3mm; Normal sonographic anatomy Pancreatic texture: The pancreas in most adults is a little more echogenic than the liver ; ;Technique;Technique;Pathology ;Acute pancreatitis;Sonographic Findings;急性胰腺炎; Focal tenderness Texture changes: less echogenic than normal Enlargement: may be focal or diffuse. The shape appears swollen with rounding off of the borders ;Chronic panceatitis;慢性胰腺炎;慢性胰腺炎;Chronic pancreatitis:US/CT Findings;Chronic pancreatitis:US/CT Findings;Irregular pancreatic contour Pancreatic mostly intraductal calcifications irregular/smooth/beaded/pancreatic ductal dilatation ;Intra-/peripancreatic pseudocysts;Pancreatic carcinoma: Pancreatic ductal carcinoma胰腺癌;Pancreatic ductal adenocarcinoma and its variants;Pancreatic Ductal Adenocarcinoma;Pancreatic Ductal Carcinoma;Pancreatic Ductal Carcinoma;Pancreatic Ductal Carcinoma;Pancreatic carcinoma;脾脏的超声检查;Spleen ;Technique; 肋间斜断面脾略呈半月形，长轴与左侧第10肋平行。脾包膜呈光滑的细带状回声。外侧缘呈孤形，内侧缘内陷，为脾门。脾v、脾A为管状无回声。脾实质呈均匀中等回声，光点细密。 CDFI:脾门处及脾v的分支呈蓝色血流。胰腺后方脾V呈红色血流。脾门处脾A呈红色血流，腹腔干发出脾A分支处依不同的声束方向可呈蓝色或红色，脾A血流呈部分空窗型层流频谱。 ;脾脏厚度;脾脏长度;Normal Sonographic Anatomy;More echogenic than the liver or kidneyA group of high-level echoes in the center of the spleen at its medial aspect represents the splenic hilum at the entrance of the splenic artery and vein;CDFI and Power Doppler;脾脏肿大的超声表现;Splenomagaly;Splenic cyst; Simple cyst: echo-free area with smooth, well-defined borders, acoustic enhancement Polycystic spleen ： multiple cyst within spleen ,often with polycystic disorders