严重脊柱畸形患者腹部脏器超声影像特点分析

Ultrasonic features of abdominal organs in patients with severe spinal deformities

目的探讨严重脊柱畸形患者腹部超声检查特点及临床意义。方法利用不同超声检查方法对严重脊柱畸形25例进行腹部超声检查,观察腹部各脏器移位及形态、结构变化。结果严重脊柱畸形患者肝脏、胆囊、胰腺、脾脏位置和形态变化明显,结构无明显变化;肾脏形态及位置变异很大,部分患者合并畸形。结论严重脊柱畸形患者多伴有腹部脏器移位及形态变化,掌握其腹部超声检查特点和技巧,能缩短检查时间,减轻病人痛苦,为临床提供准确、可靠、有价值的诊断依据。

Objective To evaluate the ultrasonic characteristics and scanning techniques for abdominal organs in patients with severe spinal deformities. Methods Patients with severe spinal deformities underwent routine abdominal ultrasonic scanning, the positions, parenchyma and imaging shapes of abdominal organs were observed during the examinations. Results The shapes of livers and gall bladders appeared to have changed noticeably, leading to position shifts, where the parenchyma appeared normal. The shapes and positions of pancreases and spleens appeared to have changed significantly, and the parenchyma of these organs did not appear to be abnormal. Similarly, the shapes and positions of kidneys appeared to have changed significantly; in some extreme cases, deformities of kidneys were even observed. Conclusions Patients with severe spinal deformities appear to have distorted shapes and positional shifting of abdominal organs under sonographic imaging. Knowing these sonographic characteristics and skills will be helpful to the clinical practices.