CAJ | 학술논문

目的：探讨超声在诊断腹膜继发性肿瘤疾病中的临床应用价值。方法12例腹膜继发性肿瘤疾病患者,总结腹膜继发性肿瘤疾病超声图像的特点,并复习相关文献。结果腹膜假性黏液瘤患者超声表现为腹腔内可见黏液腹腔积液,深度11.3~12.2 cm,肠管受压,腹膜增厚,厚度3.0~3.5 cm,积液内呈蜂窝状改变,可见多个网状、光带状分隔,并可见成堆分布的点状高回声随体位改变而缓慢移动。卵巢癌、胃癌、肝癌和结肠癌腹膜转移患者的超声表现为：腹腔内可见大量腹水,腹水深度7.1~12.0 cm,于腹水中可见大网膜僵硬、明显增厚,厚度3.6~6.7 cm,呈“网膜饼”状,并于盆腔及腹腔内可见卵巢、胃、肝、结肠的原发肿瘤病灶。结论超声技术可以清晰的显示腹膜继发性肿瘤疾病的特征性声像图特点,具有方便捷、快捷、准确性较高的优点,有益于临床诊断该类疾病。
목적：탐토초성재진단복막계발성종류질병중적림상응용개치。방법12례복막계발성종류질병환자,총결복막계발성종류질병초성도상적특점,병복습상관문헌。결과복막가성점액류환자초성표현위복강내가견점액복강적액,심도11.3~12.2 cm,장관수압,복막증후,후도3.0~3.5 cm,적액내정봉와상개변,가견다개망상、광대상분격,병가견성퇴분포적점상고회성수체위개변이완만이동。란소암、위암、간암화결장암복막전이환자적초성표현위：복강내가견대량복수,복수심도7.1~12.0 cm,우복수중가견대망막강경、명현증후,후도3.6~6.7 cm,정“망막병”상,병우분강급복강내가견란소、위、간、결장적원발종류병조。결론초성기술가이청석적현시복막계발성종류질병적특정성성상도특점,구유방편첩、쾌첩、준학성교고적우점,유익우림상진단해류질병。
ObjectiveTo investigate clinical application value of ultrasound in peritoneal secondary tumor.MethodsThere were 12 patients with peritoneal secondary tumor, and their characteristics of ultrasound images for peritoneal secondary tumor were summarized, along with related literature.ResultsUltrasound manifestations in peritoneal pseudomyxoma patients included visible seroperitoneum in abdominal cavity with depth of 11.3~12.2 cm, compressed intestinal canal, thickened peritoneum with thickness of 3.0~3.5 cm, alveolate changes in effusion, multiple reticular and light strip separation, and piles of moved punctiform high level echo in different positions. Ultrasound manifestations in ovarian cancer, stomach cancer, liver cancer, and colon cancer peritoneal metastasis included massive ascites in abdominal cavity with depth of 7.1~12.0 cm, stiffed and thickened omentum majus in ascites with thickness of 3.6~6.7 cm, appearance of “omentrm cake”, primary tumor lesions of ovary, stomach, liver, colon in pelvic cavity and abdominal cavity.ConclusionImaging characteristics of peritoneal secondary tumor can be clearly shown by ultrasound, which contains advantages of convenience, fast speed, and high accuracy. This method is beneficial for clinical diagnosis of this disease.