超声显像对脾组织块自体移植术后的随防

Untrasonography follows up the splenic masses after auto-transplantation

目的 探讨超声显像对脾组织块自体移植术后的随防的价值。方法 本组脾切除术后脾组织块自体移植术后10例,超声均测及脾块,经免疫学检查结果证实存活。结果 脾块均位于腹腔浅表部位,声像图特征:(1)脾组织块回声与正常脾相以,呈均匀低回声;(2)脾块包膜回声增厚;(3)长时间观察无变化。免疫学中,进行IgG、A、M、及C3测定,发现上述指标逐步升高,直至恢复正常,血常规正常,血中未发现Howell-Jolly小体及空泡红细胞。结论 超声显像可替代其他影像诊断方法,显示脾组织块。

Objective To determime the value of ultrasonography in the follow - up after the operating splenic auto - transplantation. Methods The splenic masses of auto - transplantation are detected by ultrasonography in 10 cases after the removing spleen. They are confirmed survival by the immunitic examination. Results All splenic masses on image features are as (1) the spleen its echo is similar to as hypoecho; (2) the capsule of splenic mass is thickened; (3) its shape is constant on obsrvalion for long time. In immunitition, IgG, A, M and C3 are examined, the values grow higher and higher, until normal. Routine blood test is normal, No Howell - Jolly' s body and empty red cells are found. Conclusion The splenic mass can be seen on ultrasonography in stead of other inaging methods.