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目的分析成人继发性肠套叠的超声诊断情况。方法采用回顾性分析法对1例成人继发性肠套叠患者的临床资料和B超检查结果以及手术、病理确诊结果进行回顾性分析和总结。结果该病例的超声提示为:右中下腹良性占位伴肠套叠首先考虑。手术、病理确诊结果为:回盲部脂肪瘤(瘤体大小约4.1×3.0×3.4cm)伴浅表溃疡及肠套叠形成。结论在对成人肠套叠进行诊断时,需要对存在原发病灶的可能性加以充分的考虑,利用二维超声及多普勒进行相应部分的扫查,尽可能地将更多的信息提供给临床医生,以做到早期诊断、早期治疗,使患者得到更好的预后。
Objective To analyze the ultrasonic diagnosis of adult secondary intussusception. Methods Retrospective analysis was used to analyze and summarize the clinical data, B-ultrasound findings, and surgical and pathological findings of one adult secondary intussusception. Results The ultrasound findings of this case were: benign right middle and lower abdominal space with intussusception first consideration. Surgery, pathological diagnosis results: ileocecal lipoma (tumor size of about 4.1 × 3.0 × 3.4cm) with superficial ulcers and intussusception formation. Conclusions When diagnosing adult intussusception, adequate consideration should be given to the possibility of the presence of primary lesions. Two-dimensional sonography and Doppler scan of corresponding parts should be performed to provide more information as much as possible Clinicians, in order to achieve early diagnosis, early treatment, so that patients get a better prognosis.