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经直肠超声联合超声造影对直肠间质瘤与直肠癌的鉴别诊断价值
引用本文:刘 波,王珍芳,张雪梅,彭建美,陈 琳,刘瑞廷.经直肠超声联合超声造影对直肠间质瘤与直肠癌的鉴别诊断价值[J].现代肿瘤医学,2021,0(22):4010-4013.
作者姓名:刘 波  王珍芳  张雪梅  彭建美  陈 琳  刘瑞廷
作者单位:1.陕西省人民医院超声医学科;2.病理科;3.普外科,陕西 西安 710068
基金项目:陕西省重点研发计划项目(编号:2018SF-174)
摘    要:目的:探讨经直肠超声联合超声造影鉴别诊断直肠间质瘤与直肠癌的价值。方法:对已确诊的12例直肠间质瘤组常规超声及超声造影特点进行总结,并与24例直肠癌组的超声特征进行对比分析。结果:本组12例直肠间质瘤,其中低度危险程度间质瘤1例,中度危险程度间质瘤1例,高度危险程度间质瘤10例。直肠间质瘤组与直肠癌组在常规超声显示的肿瘤位置、大小、形态、边界、内部回声、周围淋巴结转移的差异均有统计学意义。直肠间质瘤的超声造影显示造影剂进入慢、退出快,且整体增强强度低。结论:直肠间质瘤常规超声及造影表现具有相对特征性,有助于提高直肠间质瘤与直肠癌的鉴别诊断价值。

关 键 词:经直肠超声  直肠间质瘤  直肠癌

Differential diagnosis of rectal stromal tumor and rectal cancer by transrectal ultrasound combined with contrast-enhanced ultrasound
LIU Bo,WANG Zhenfang,ZHANG Xuemei,PENG Jianmei,CHEN Lin,LIU Ruiting.Differential diagnosis of rectal stromal tumor and rectal cancer by transrectal ultrasound combined with contrast-enhanced ultrasound[J].Journal of Modern Oncology,2021,0(22):4010-4013.
Authors:LIU Bo  WANG Zhenfang  ZHANG Xuemei  PENG Jianmei  CHEN Lin  LIU Ruiting
Affiliation:1.Department of Diagnostic Ultrasound;2.Department of Pathology;3.Department of General Surgery,Shaanxi Provincial People's Hospital,Shaanxi Xi' an 710068,China.
Abstract:Objective:To explore the value of transrectal ultrasound combined with contrast-enhanced ultrasound in the identification of rectal stromal tumor and rectal cancer.Methods:The characteristics of conventional ultrasound and contrast-enhanced ultrasound in 12 cases of rectal stromal tumor that were diagnosed were summarized and compared with the ultrasound characteristics of 24 cases of rectal cancer.Results:There were 12 cases of rectal stromal tumor,including 1 case of low-risk stromal tumor,1 case of moderate-risk stromal tumor and 10 cases of high-risk stromal tumor.There were statistically significant differences between the rectal stromal tumor group and the rectal cancer group in the tumour' s position,maximum diameter,morphology,border,internal echo,peripheral lymph node metastasis in conventional ultrasonography.For rectal stromal tumor,contrast-enhanced ultrasound showed that contrast agents entered slowly and exited quickly,and the overall enhancement intensity was low.Conclusion:The routine ultrasonography and contrast-enhanced ultrasound findings of rectal stromal tumor are relatively characteristic.Mastering these performances can help to improve the value of the differential diagnosis between rectal stromal tumor and rectal cancer.
Keywords:transrectal ultrasound  rectal stromal tumor  rectal cancer
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