超声诊断结肠癌一例

患者甲,因左下腹疼痛、便血1年,左下腹包块4月,加重1月前来我院就诊.超声所见:左下腹探及一杂乱偏弱回声团块,其大小为9.5×5.5×6.5cm,边界清,形态规则,其周边为弱回声,中央为强回声,呈"假肾征".CDFI:周边低回声内见较丰富的血流信号,腹主动脉旁未见淋巴结肿大,盆腔未见游离暗区.超声印象:左侧腹腔内实性占位(结肠癌).     

超声诊断2期宫颈癌一例

1 一般资料 患者,女,34岁,因为阴道流恶臭性分泌物一年,伴阴道不规则流血六个月,加重伴阴道大流血二天前来我院就诊.超声所见:膀胱充盈,膀胱内未见异常.     

原发性肺隐球菌病14例临床分析

目的 通过分析肺隐球菌病(PC)病例,提高PC临床诊治水平.方法 回顾性分析14例PC患者的宿主因素、基础疾病、胸部CT表现、微生物检验、组织病理学检查、治疗和转归.结果 大部分PC患者有相关的宿主因素和基础疾病.胸部CT表现多样,多为单肺叶发病,以局限性多发混杂的结节和(或)肿块和(或)肺实变为主,此外还可见支气管充气征/小泡征、空洞、晕征等.支气管肺泡灌洗液真菌培养阳性率较低(18.2%),大部分隐球菌乳胶凝集试验阳性(64.3%),肺组织病理检查阳性率100%,氟康唑初始治疗有效(57.1%).结论 PC患者多有基础疾病,临床表现及胸部影像学表现无特异性,"晕征"为其相对特征性表现.隐球菌乳胶凝集试验无创,阳性率较高,确诊主要靠病理.氟康唑治疗效果好,不良反应小.

Abstract：

Objective To improve the diagnosis and treatment of primary pulmonary cryptococcosis (PC) by analysing the PC cases. Methods The host factors, underlying diseases, chest CT,microbiological and histopathological examination, treatment and prognosis of fourteen patients with PC retrospectively analyzed. Results Most patients with PC had related host factors and underlying diseases.The features of chest CT were diverse, mostly in single lung, mainly included local multiple nodules and (or) mass and (or) pulmonary consolidation, otherwise, air bronchogram / small bubble sign, cavity,halo sign were visible. The positive rate of fungal culture from the bronchoalveolar lavage was lower (18.2%) ,most of cryptococcus latex agglutination test was positive (64.3%), the positive rate of lung tissue pathology was 100% ,and the effective rate of fluconazole for initial treatment of PC was 57. 1%.Conclusions Most patients with PC have underlying diseases, clinical manifestations and chest imaging are nonspecific, and halo sign is relatively specific performance. Cryptococcus latex agglutination test is invasive, and the positive rate is high. The final diagnosis of PC mainly depends on pathology.Fluconazole is effective for the treatment of PC,and side effect is low.     

超声诊断2期宫颈癌一例

1一般资料 患者,女,34岁,因为阴道流恶臭性分泌物一年,伴阴道不规则流血六个月,加重伴阴道大流血二天前来我院就诊。超声所见：膀胱充盈,膀胱内未见异常。子宫宫体呈前位,体积增大（8．8＊6．8＊5．6cm）,形态不规则,在子宫前后壁肌壁间见多枚1．5＊1．5-2．0＊2．0cm低回声团块,边界欠清,宫颈管增大（5．8＊4．8＊3．8cm）,形态不规则,管内见大小不等的结节状回声,在子宫直肠窝探及厚约1．2cm不规则无回声区。超声印象：1、宫颈增大,宫颈内实性占位（宫颈癌）。2、子宫增大,宫腔内转移。3、盆腔积液。     

幼儿园新教师成长六步曲

当我刚刚踏入幼儿教师的行列时,心中多了一份欣喜和一丝无措。面对孩子们的笑脸,我真的能成为一名合格的幼儿教师吗？在华阳幼儿园新教师又被称为“蘑菇新人”。我们这些“蘑菇新人”会得到大家的帮助,拥有成长的规划,我把它称为成长“六步曲”。     

输尿管结石的超声诊断及超声体外震波碎石治疗临床观察

目的:探讨超声对输尿管结石的诊断及超声体外震波碎石治疗后临床观察。方法:用腹部超声检查,对100例经超声检查后进行超声体外震波碎石后的临床观察。结果:对100例输尿管结石超声诊断率达95%,碎石率达92%。结论:超声诊断输尿管结石准确率高,超声体外震波碎效果显著。     

超声诊断在计划生育手术中应用

目的探讨超声在计划生育手术中的诊断价值。方法超声诊断300例宫内早孕，其中10例宫外孕（3例带环），并实施计划生育手术，诊断准确率达96．67％。结论超声诊断宫内早孕优其它检查方法，准确率高，为临床医生提供可靠的诊断和手术依据。     

超声诊断结肠癌一例

患者甲,因左下腹疼痛、便血1年,左下腹包块4月,加重1月前来我院就诊。超声所见：左下腹探及一杂乱偏弱回声团块,其大小为9．5×5．5×6．5cm,边界清,形态规则,其周边为弱回声,中央为强回声,呈“假肾征”。CDFI：周边低回声内见较丰富的血流信号,腹主动脉旁未见淋巴结肿大,盆腔未见游离暗区。超声印象：左侧腹腔内实性占位（结肠癌）。