超声在黑斑息肉综合征临床诊疗中的应用价值

The value of ultrasound in clinical diagnosis and treatment of Peutz-Jeghers syndrome

目的:旨在探讨超声下黑斑息肉综合征中息肉及其继发性改变的声像图特征,提高超声医生对该病的认识。方法:回顾性分析我院2012年2月—2016年4月明确诊断为黑斑息肉综合征的6例患者的临床、超声及术后病理资料。结果:6例患者超声均于小肠内发现息肉,且发现息肉引发的肠套叠3例,符合术中所见。结论:超声检查不仅能评估息肉的性状、观察息肉引起的肠套叠、肠梗阻等继发性改变,而且能评估腹部的整体情况,又因其简便无创、实时动态而成为检查黑斑息肉综合征息肉较为有效的手段,为临床诊治提供可靠的依据。

Objective： The aim of this paper was to improve the awareness of sonographers to characteristics of polyps and secondary changes of Peutz-Jeghers syndrome（PJS）. Methods： A retrospective analysis was made to the ultrasound, clinical data and postoperative pathologies of 6 cases of PJS in our hospital from February 2012 to April 2016. Results： Six cases of polyps caused by PJS and 3 cases of intussusception caused by polyps were found in the small intestine by ultrasound com-pared with the findings during the operations. Conclusions： Ultrasound is a more effective means for the diagnosis of polyps caused by PJS, because it can evaluate the polyp characters, observe intussusception and intestinal obstruction caused by polyps, assess the overall situation in the abdomen. Ultrasound provides a reliable basis for clinical diagnosis and treatment for its simple, non-invasive and real-time.