超声造影在腹膜疾病诊断中的初步应用

Contrast-enhanced ultrasound in the diagnosis of peritoneal disease: A report of 2 cases

目的超声造影对肝占位性疾病具有诊断价值,有关超声造影在腹膜疾病诊断中的应用报道甚少。文中探讨超声造影对腹膜疾病的诊断价值。方法回顾性分析通过超声引导下穿刺明确诊断的2例腹膜疾病患者的超声造影表现。结果 2例病灶超声造影后肿块边界显示清晰,累及范围较常规超声检查测量的范围更广,强化模式呈"快进快出"型;穿刺病理结果显示1例为腹膜恶性间皮瘤,另1例为结核性腹膜炎。结论超声造影检查有助于明确腹膜疾病的部位及范围,但对腹膜疾病的定性诊断尚有待深入研究。

Objective Ultrasound imaging has exhibited a significant value in the diagnosis of hepatic space-occupying lesions, while its application in the diagnosis of peritoneal disease is rarely reported. This study is to explore the value of contrast-enhanced ultrasound （CEUS） in the diagnosis of peritoneal disease. Methods We retrospectively analyzed the CEUS results of 2 cases of peritoneal disease confirmed by ultrasound-guided biopsy. Results CEUS of 2 masses exhibited clear boundaries, involving a wider area than that measured by routine ultrasound. The enhancement patterns of the 2 lesions were both ＂fast-in and fast-out＂. Biopsy showed one to be peritoneal malignant mesothelioma and the other tuberculous peritonitis. Conclusion CEUS is beneficial to clarify the site and extent of peritoneal lesion, but its further studies are needed on its value in the diagnosis the nature of peritoneal disease.