脾脏超声检查要点：位置、大小、形态与回声特征.pdfVIP

Ultrasonographyofthaspleen

脾脏趣声检查

Dr.

Nathalie

Rademacher,

Dipl

ECVDI/

ACVR

Assistant

Professor

Diagnostic

Imaging

Louisiana

State

University

nrademacher@vetmed.lsu.edu

USofthespleen

脾脏超声检查

•Location

位置

•Size

大小

•Shape

形态

•Margins

边缘

•Echogenicity

回声强度

•echostructure/

architecture

of

the

parenchyma

实质的回声

•Vessels

血管

LocationSpleen

脾脏位置

•Head

of

spleen

in

left

intercostal

space

脾脏头在左肋骨里

•Head

attached

to

stomach

头与胃接近

(gastrosplenic

ligament)

脾胃韧带

•Body

and

tail

variable

in

position

脾脏体和脾脏头位置变化

•Along

left

body

wall

沿左侧体壁

•Courses

transversely

across

abdomen

横穿过腹部

•Depends

on

gastric

contents

and

size

要看胃内容物和胃的大小

ABC

疼下脾脏

liver)

USappearanceSpleen超声下脾脏

•Smooth

outline

with

echogenic

capsule

边缘光滑，包膜有回声

•Homogeneous

fine

echotexture

(compared

to

liver)

（与肝脏比）回声均质

•Triangular

on

cross

section

截面图是三角形

•Eloned

and

tongue

shaped

长、舌状

•Hyperechoic

to

liver/left

kidney

cortex

比肝脏/左肾皮质回声高

犬脾脏

Normalcaninespleen正常犬脾脏

ding

of

spleen)

Thefelinespleen

猫脾脏

•Superficial

along

left

body

wall

浅表、沿左侧体壁

•Nonsinusal

spleen

s

blood

storage

capacity

无脾窦脾脏储藏血液能力很弱

•Splenomegaly

more

likely

to

be

disease

(folding

of

spleen)

脾脏肿大基本上都是（脾脏扭转）

Thefelinespleen

猫脾脏

Thefelinespleen

猫脾脏

yma

Splenynculus脾脏结节

Accessory

spleen

脾脏附属

al

finding

偶然发现

Single

or

multiple

islands

of

normal

splenic

parenchyma

在正常脾脏里的单个或多个岛

Frequently

at

spleni