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目的探讨阑尾黏液性肿瘤的声像图特征,提高其诊断准确率。方法分析31例阑尾黏液性肿瘤患者的术前超声表现,与手术病理结果相对照。结果病理结果:26例阑尾黏液腺瘤,5例阑尾黏液腺癌。本组1例术前超声检查未能显示病变,余30例声像图表现可分为4型:(1)阑尾盲管状结构型(3例);(2)囊性包块型(13例);(3)囊实混合性包块型(12例);(4)大量腹腔积液、网膜增厚型(2例)。结论阑尾黏液性肿瘤的超声表现具有一定的特征性,加强对本病声像图特点的认识,有助于提高超声诊断准确率。
Objective To investigate the sonographic features of mucinous appendix and improve its diagnostic accuracy. Methods 31 cases of mucinous appendectomy in patients with preoperative ultrasound, in contrast with the surgical pathology results. Results Pathological results: 26 cases of appendix mucinous adenoma, 5 cases of mucinous adenocarcinoma of the appendix. The group of 1 case of preoperative ultrasound failed to show lesions, the remaining 30 cases of sonographic findings can be divided into 4 types: (1) appendix blind tubular structure (3 cases); (2) cystic mass (13 cases ); (3) cystic mixed mass type (12 cases); (4) a large number of ascites, omental thickening type (2 cases). Conclusions The mucosal appendix mucosal tumors have some characteristic features of ultrasound, to enhance the understanding of the characteristics of the acoustic image, help to improve the diagnostic accuracy of ultrasound.