超声检查小网膜囊增厚对诊断腹部疾病的临床意义

Values of lesser omental bursa thickening for diagnosing the abdominal diseases by ultrasound

目的 评价超声检查小网膜囊增厚对胰腺和腹部疾病诊断的价值。方法 病例组 5 8例 ,对照组2 5例。超声扫查中上腹部 ,检测胃胰间距 ,显示胰腺前方异常回声。同期做CT和淀粉酶测定。结果 对照组小网膜囊不显示。病理组小网膜囊增厚 0 .4～ 5 .0cm ,胃胰间出现异常回声 ,长 4.0～ 10 .0cm。其中急性胰腺炎 47例 ( 81.0 3 % ) ,腹腔转移性肿瘤 3例 ( 5 .17% ) ,胰腺损伤 3例 ( 5 .17% ) ,胃穿孔 1例 ,腹膜炎和腹腔结核各 2例。结论 正常小网膜囊不显示 ,当小网膜囊增厚和出现异常回声时提示胰腺 ( 86 .2 0 % )

Objective To evaluate the value of lesser omental bursa thickening for diagnosing the abdominal diseases by ultrasound.Methods There were 25 cases of contrast and 58 of patients.The distance between the stomach and pancreas was measured and the abnormal echo of omental bursa was displayed.Results Omental bursa was not displayed in contrast group.The thickness of patients omental bursa was 0.4 ～ 5.0 cm and the abnormal echo lengthy between the stomach and pancreas was 4.0 ～ 10.0 cm.Among which 47 ( 82.75% ) cases were pancreastitis,3 cases were transmuted tumors,3 cases were pancreases trauma,2 cases were peritonitis and 2 cases were peritoneal tuberculosis.Conclusions The thickening lesser omental bursa and abnormal echo indicate the abnormal of pancreas ( 86.20% ) and peritoneal lesion.