巨大阑尾黏液囊肿的超声诊断

Sonographic Diagnosis of Giant Mucocele of the Appendix

目的分析巨大阑尾黏液囊肿的声像图表现,提高对该病的认识及诊断水平。方法对5例经手术病理证实为巨大阑尾黏液囊肿的超声表现及临床资料进行回顾性分析。结果 5例均表现为右下腹阑尾解剖区巨大液性包块,最小13.6cm×4.0cm,最大16.7cm×5.9cm,均呈典型"牛角"样改变。结论巨大阑尾黏液囊肿罕见,诊断不易明确,而根据其声像图的特征术前可获得正确诊断。

Objective To investigate the ultrasonic wave features of giant mucocele of the appendix,and to improve the diagnostic ability of the disease. Methods All 5 patients with giant mucocele of the appendix were confirmed by pathology and surgery. The ultrasonic wave findings and clinical data were analyzed retrospectively. Results Common sonographic findings were as follows：A huge abdominal mass located at the anatomic site of appendix and the size of the mass ranged from 136mm×40mm to 167mm×59mm;A typical horn-like appearance. Conclusion Giant mucoeele of the appendiceal is a rare lesion,and it is diffeuh to make accurate diagnosis before the operation. It is suggested that a sonographic findings may aid in the correct preoperative diagnosis of giant mucoeele of the appendix.