脾脏占位性病变的超声诊断

Ultrasound diagnosis of splenic space-occupying lesion

目的:探讨脾脏占位性病变的超声诊断价值。方法:分析15例经病理和临床证实的脾脏占位性病变的超声资料,包括脾卡波西氏肉瘤1例,脾血管肉瘤1例,脾弥漫性非何杰金氏淋巴肉瘤1例,脾非霍奇金氏淋巴瘤2例,脾何杰金氏病(结节型)1例,脾转移癌4例,脾淋巴管瘤2例,脾囊肿2例,脾脓肿1例。结果:超声检查能清楚的显示,脾脏占位病变的大小、形态回声特征与周围器官组织的关系;超声对脾脏占位性病变的检出率100%,定性准确率为73.3%。结论:超声对脾脏占位性病变有较高的诊断价值,可作为首选的影像学检查方法。

Objective： To study ultrasonography diagnostic value of splenic space occupying lesion. Methods： Ultrasonography of 15 cases with pathologically proved splenic space occupying lesion were analysed, which included splenic Kaposi sarcoma 1 case, splenic angiosarcoma 1 case, splenic diffuse non-Hodgkin lymphosarcoma 1 case, non-Hodgkin lymphoma 2 cases, splenic Hidgkin disease 1 case, splenic carcinoma metastaticum 4 cases, splenic lymphangioma 2 cases, splenic cyst 2 cases, splenic abscess 1 case. Results： Uhrasonography could clearly demonstrate the size, shape, characteristic of an echo and the surrounding structures as well. The detected rate were respectively 100%, the right diagnostic rate were 73.3%. Conclusion： Ultrasonography is very helpful for the diagnosis of splenic space occupying lesion. Ultrasonography is the first imaging examination for splenic space occupying lesion.