| 小儿腹膜后肿块的B型超声诊断 |
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| 引用本文： | 黄道中,张青萍. 小儿腹膜后肿块的B型超声诊断[J]. 华中科技大学学报(医学版), 1988, 0(5) |
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| 作者姓名： | 黄道中 张青萍 |
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| 作者单位： | 同济医科大学附属同济医院超声诊断室(黄道中)，同济医科大学附属同济医院超声诊断室(张青萍) |
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| 摘 要： | 本文分析了24例小儿腹膜后肿块的B型超声图象,根据回声特征分为4型:Ⅰ型强回声型,Ⅱ型低回声型,Ⅲ型无回声型,Ⅳ型混合型。探讨了腹膜后肿块定位诊断的指征。①肿块靠近腹后壁,肠道气体回声位于肿块前方或两侧;②肿块对腹膜后胰腺、肾脏及大血管的推挤和压迫;③肿块不随呼吸及体位改变丽移位。文章重点对肾胚胎瘤与神经母细胞瘤进行了鉴别,最后还对B型超声诊断肿块的临床意义进行了讨论。
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| 关 键 词： | 超声 腹膜后肿块 |
Ultrasonographic Diagnosis of Reiroperitoneal Mass in Children |
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| Huang Daozhong,Zhang Qingping. Ultrasonographic Diagnosis of Reiroperitoneal Mass in Children[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 1988, 0(5) |
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| Authors: | Huang Daozhong Zhang Qingping |
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| Affiliation: | Huang Daozhong,Zhang Qingping Department of Ultrasonic Diagnosis,Tongji Hospital,Tongji Medical University,Wuhan |
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| Abstract: | Ultrasonograms of 24 cases of retroperitoneal mass in children were analysed. According to ultrasonographic observation retroperitoneal mass can be divided into four types:1) hyperechoic pattern, 2) hypoechoic pattern, 3)anechoic pattern, and 4) mixed pattern. A study was made of the located indications of diagnosis of retroperitoneal mass, namely, 1. The mass got close to posterior abdominal wall, and echo of intestine gas was found on the front or lateral of the mass. 2. The pancrease, kidney and great vessels were compressed and displaced. 3. The mass did not move during inhalation or exhalation or after a position change of the body. In the present paper, therefore, stress was laid on differential diagnosis among wilm tumor and neuroblastoma. Finally, clinical significance of ultrasonographic diagnosis of retroperitoneal mass was also discussed. |
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| Keywords: | ultrasound retroperitoneal mass |
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