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超声引导下穿刺活检诊断老年人结肠肿瘤
引用本文:刘翠,李欣. 超声引导下穿刺活检诊断老年人结肠肿瘤[J]. 中国临床保健杂志, 2006, 9(3): 246-247
作者姓名:刘翠  李欣
作者单位:武警总医院,解放军总医院超声科,北京,100853;武警总医院
摘    要:目的探讨超声引导下穿刺活检对老年人结肠肿瘤的诊断价值。方法回顾分析超声引导下穿刺活检17例疑患结肠肿瘤老年患者的临床资料。结果(1)病理结果:17例中,腺癌14例,恶性淋巴瘤1例,小细胞恶性肿瘤1例,结核1例。(2)声像图表现:17例病灶中,12例为典型的肠道肿瘤表现即“假肾征”或“靶环征;”4例仅表现为回盲部不均匀低回声肿块,不具备“假肾征”图像;1例为典型的肠套叠表现,即“同心圆征”。2例有肠梗阻征象;5例有转移征象。结论超声引导下穿刺活检安全性好、准确性高,是诊断老年人结肠肿瘤的有效方法之一。

关 键 词:结肠肿瘤  活组织检查  针吸  超声检查  介入性  老年人
文章编号:1672-6790(2006)03-0246-02
收稿时间:2006-03-10
修稿时间:2006-03-10

Evaluation of Ultrasound Guided Biopsies in the Diagnosis of Geriatric Colon Tumor
LIU Cui,LI Xin. Evaluation of Ultrasound Guided Biopsies in the Diagnosis of Geriatric Colon Tumor[J]. Chinese Journal of Clinical Healthcare, 2006, 9(3): 246-247
Authors:LIU Cui  LI Xin
Affiliation:1.PLA General Hospital ,Beijing 100853, China ;2. Armed Police Force General Hospital
Abstract:Objective To evaluate the clinical significance of ultrasound guided biopsies in the diagnosis of geriatric colon tumor.Methods The clinical data of 17 elderly patients were analyzed,who were suspicious colon tumor with the ultrasound guided biopsies retrospectively.Results There were 14 cases of adenocarcinoma,1 case of malignant lymphoma,1 case of small cell malignant tumor and 1 case of tuberculosis.Sonogram appeared "Sham kidney sign" or "target sign" in 12 cases;hypoechoic tumor in ileocecal junction in 4 cases;"concentric circles sign" in 1 case.Gastrointestinal obstruction was shown in 2 cases.Infiltration and metastasis were found in 5 cases.Conclusion The ultrasound guided biopsies is possess of the advantages of accuracy and safety.It is one of effective methods in the diagnosis of geriatric colon tumor.
Keywords:Colonic neoplasms   Biopsy, needle    Ultrasonography, interventional    Aged
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