超声诊断大网膜病变的初步评价

Diagnostic value of ultrasonography in the lesions of greater omentum

目的 评价大网膜病变的超声诊断价值 ,积累超声诊断大网膜病变的经验。方法 回顾性分析经手术、腹腔镜或腹水细胞病理学证实的 3 3例大网膜病变的超声改变。结果 3 3例中超声诊断大网膜有病变 2 7例 ,提示良性或恶性病变 2 6例 ,与手术或腹腔镜对照 ,病变部位诊断符合率 81.8% ,病理性质 (良性或恶性 )诊断符合率 78.8%。声像图特征 :大网膜趋向于病变部位 ,且发生厚度、形态和回声改变。结论 只要积累经验 ,超声医师可根据大网膜所在部位及回声改变来推断原发病变的部位和病理性质。

Objective To evaluate the diagnostic value of the ultrasonography in greater omentum lesions. Methods The ultrasonic findings in 33 patients with greater omentum lesions were compared with the pathological result of operation,celioscope or ascites cytology.Results The lesions in 27 of 33 patients ( 81.8 %) were located within the greater omentum , and pathological changes of 26/33( 78.8 %) were found by ultrasonography.These greater omentum lesions appeared as characteristics of thickened , shifted and peculiarecho. Conclusion The location and pathological nature of the primary affection can be approximately estimated according to the localization and sonographic appearance of the greater omentum by experienced physicians.