食管癌切除术后胸腔胃的超声诊断

Ultrasound Diagnosis of Thoracostomach after Having Oesophagus Cancer Rescection

目的:探讨超声诊断食管癌切除术后胸腔胃的方法、影像学表现及鉴别诊断。方法:对我院行食管癌切除术后的12例患者,应用百胜MyLab30彩色多普勒超声诊断仪,行胸部全面扫查。结果:胸腔胃左侧10例,右侧1例,左侧胸腔胃误诊为左侧胸腔包裹性积液1例。结论:胸腔胃在解剖生理上发生了很大变化,胸腔胃声像图表现随其内潴留液的多少,收缩状态及扫差切面的不同而不同,应注意与胸腔包裹性积液鉴别,避免误穿导致严重并发症,超声对其诊断需结合外科手术情况,声像图表现等。

Objective： To investigate the method,imaging manifestation and differential diagnosis of using ultrasound to diagnose thoracostomach after having oesophagus cancer resection.Methods： Select 12 cases of having oesophagus cancer resection in our hospital,scan their chest fully by MyLab30 color doppler ultrasonography.Results： There are 10 cases of left thoraeostomach. 1 case of fight Thoracostomach,and another one case should be left thoracostomach, but be misdiagnosised to encapsulated effusion of lest chest. Conclusion： Thoracostomach has a great chang in anatomy and physiology. Thoracostomach sonogram vanes with the amount of its fluid retention. contraction and scan section. We should beware of discriminatting it from encapsulated pleural effusion, avoid serious complications by wrong puncture. Ultrasound diagnosis need to combine the surgical cases and sonographic appearance etal.