经阴道彩超介入治疗盆腔包裹性积液的临床价值

目的 探讨经阴道彩超监测下介入治疗盆腔包裹性积液的临床价值。方法 经阴道彩超引导下穿刺抽液 ,介入抗生素等药物治疗 60例患者 ,并与同期手术治疗 3 0例患者对比。结果 60例盆腔包裹性积液经阴道彩超引导穿刺介入治疗成功率为 10 0 % (60 / 60 ) ,总有效率为 93 % (5 6/ 60 ) ,手术治疗组成功率为 10 0 % (3 0 / 3 0 ) ,有效率为 93 % (2 8/ 3 0 )。结论 盆腔包裹性积液穿刺后随访 6～ 2 4个月疗效确定 ,操作简便 ,价廉安全 ,无须手术 ,与手术治疗获得同样疗效 。

肺癌误诊肺囊肿1例报道

近年来肺癌发病率有增高的趋势,肺癌死亡率占恶性肿瘤的1～2位。它的临床表现多样,因此常常被误诊为其它疾病,不少病人延误数月才诊断清楚。最近本院临床见1例胸片呈包囊性积液,诊断为肺囊肿伴感染,经2个月药物治疗无效,后经手术治疗病理诊断为肺癌。

胸内病变的超声检查

利用不同的超声回波性质可以鉴别囊性和实质性病变，胸腔内含气的肺实质将超声波束反射回来，阻碍了对肺内病灶的检查，但贴近胸壁的病灶却可以检查出来，因此，超声检查可用以鉴别是游离渗液，机化的渗液，还是实性肿瘤。

Imaging lexicon for acute pancreatitis:2012 Atlanta Classification revisited

The original 1992 Atlanta Classification Systemfor acute pancreatitis was revised in 2012 by the Atlanta Working Group,assisted by various national and international societies,through web-based consensus.This revised classification identifies two phases of acute pancreatitis:early and late.Acute pancreatitis can be either oedematous interstitial pancreatitis or necrotizing pancreatitis.Severity of the disease is categorized into three levels:mild,moderately severe and severe,depending upon organ failure and local/systemic complications.According to the type of pancreatitis,collections are further divided into acute peripancreatic fluid collection,pseudocyst,acute necrotic collection,and walled-off necrosis.Insight into the revised terminology is essential for accurate communication of imaging findings.In this review article,we will summarize the updated nomenclature and illustrate corresponding imaging findings using examples.