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目的探讨超声检查对右下腹肠壁增厚型肠道病变的诊断和鉴别诊断的临床价值。方法回顾性分析2009年1月-2013年4月眉山市中医医院、眉山中铁医院和四川大学华西医院收治的经内镜活体组织检查或手术病理检查证实的右下腹肠壁增厚型肠道病变共416例的超声影像特点及临床资料(其中包括阑尾炎及阑尾周围脓肿、回盲部肿瘤、梅克尔憩室、肠重复畸形,克隆病、肠结核),并对误诊情况进行了分析。结果 416例病变中,炎症性疾病304例,肿瘤性疾病90例,先天性疾病22例;在超声声像图的表现为囊性团块19例,囊实性混合性团块77例,实性团块320例;416例患者中,肠壁呈弥漫型改变56例,多节段型改变54例,局限型改变306例。结论超声检查对右下腹肠壁增厚型肠道疾病的诊断和鉴别诊断有较好的临床价值。
Objective To investigate the clinical value of ultrasonography in the diagnosis and differential diagnosis of intestinal lesions of right lower quadrant intestinal wall. Methods A retrospective analysis was performed on the right lower quadrant intestinal wall thickening type of intestinal lesions confirmed by endoscopic biopsy or surgical pathology from January 2009 to April 2013 in Meishan Chinese Medicine Hospital, Meishan Zhongti Hospital and West China Hospital of Sichuan University. A total of 416 cases of ultrasound imaging features and clinical data (including appendicitis and appendix abscess, ileocecal tumor, Meckel diverticulum, intestinal deformity, Crohn’s disease, intestinal tuberculosis), and misdiagnosis were analyzed. Results Among the 416 lesions, there were 304 inflammatory diseases, 90 neoplastic diseases and 22 congenital diseases. In the ultrasonography, there were 19 cystic masses, 77 cystic solid mixed masses, In 320 patients, there were 56 cases of diffuse type change in the intestinal wall, 54 cases in the multi-segmental type and 306 cases in the limited type. Conclusion Ultrasonography has good clinical value in the diagnosis and differential diagnosis of the intestinal wall thickening intestinal diseases in the right lower quadrant.