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直肠周围病变的腔内超声诊断价值
引用本文:王玲,董昌元,张文君,贺祎,代全武,姚启盛,王贤明. 直肠周围病变的腔内超声诊断价值[J]. 中国医师杂志, 2004, 6(11): 1515-1516,1518
作者姓名:王玲  董昌元  张文君  贺祎  代全武  姚启盛  王贤明
作者单位:1. 郧阳医学院附属十堰市太和医院,超声科,湖北,十堰,442000
2. 郧阳医学院附属十堰市太和医院,肛肠外科,十堰,442000
3. 郧阳医学院附属十堰市太和医院,泌尿外科,十堰,442000
摘    要:目的 评价直肠腔内超声在诊断直肠周围病变中的应用价值。方法 回顾分析206例直肠周围病变声像图表现并与手术病理或临床最终诊断对照。结果 检出直肠周围间隙疾病83例,诊断符合率95%(79/83);直肠周围脏器疾病123例。诊断符合率94%。结论 (1)直肠腔内超声对直肠周围组织间隙、脏器病变的诊断;动态时实探查膀胱出口梗阻病因等方面具有重要诊断价值。(2)直肠周围淋巴结L/S比值(淋巴结长径/横径)可作为判断淋巴结良、恶性的重要标志。

关 键 词:直肠腔 诊断价值 周围病变 腔内超声 诊断符合率 脏器 疾病 结论 目的 应用价值

The Value of Transrectal Echography in the Diagnosis of Peri-rectal Lesions
WANG Ling,DONG Chang-yuan,ZHANG Wen-jun,et al.. The Value of Transrectal Echography in the Diagnosis of Peri-rectal Lesions[J]. Journal of Chinese Physician, 2004, 6(11): 1515-1516,1518
Authors:WANG Ling  DONG Chang-yuan  ZHANG Wen-jun  et al.
Affiliation:WANG Ling,DONG Chang-yuan,ZHANG Wen-jun,et al. Department of Echography,Taihe Hospital,Shiyan 442000,China
Abstract:Objective To assess the value of transrectal echography(TRE) in diagnosing peri-rectal lesions. Methods The echography images of 287 cases of peri-rectal lesions were retrospectively analyzed,and contrasted with the results of postoperative pathologic examination and the final clinical diagnosis. Results 83 cases of peri-rectal recess lesions were found by TRE, and the occurate rate of diagnosis was 91%. 123 cases of peri-rectal viscera lesions were found by TRE, and the accurate rate of diagnosis was 94%. Conclusion TRE plays an role in the diagnosis of peri-rectal recess and viscera lesions, and in the dynamic and real-time detection of the obstructive causes of bladder orifice.
Keywords:Transrectal echograpy  Peri-rectal lesions
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