摘要
目的探讨腹直肌及其周围病变的声像图特点及高频超声检查特异性。方法研究对象为38例经临床确诊的腹直肌及其周围病变患者,其中男17例,女21例,年龄28d至65岁,平均(38.2±1.6)岁,采用高频探头对腹直肌及其周围进行纵、横、斜切扫查,将资料分为损伤性病变、感染性病变、肿瘤性及肿瘤样病变三大类,分析各类疾病的声像图特点及超声检查特异性。结果高频超声对腹直肌及其周围病变的敏感性为97.4%(37/38),特异性73.7%(28/38),其中损伤性病变、感染性病变、肿瘤性及肿瘤样病变特异性分别为75.0%(9/12)、90.0%(9/10)、62.5%(10/16)。结论高频超声对腹直肌及其周围感染性病变及损伤性病变具有较高的特异性,对肿瘤性及肿瘤样病变特异性较低,可作为首选的影像学检查方法。
Objective To discuss ultrasonogram characteristics and specificity of high-frequency ultrasound about the lesions in and around the rectus abdominis.Methods Study of 38 cases of clinically diagnosed patients with lesions in and around the rectus abdominis,including 17 males,21 female patients,aged from 28 days to 65 years,mean age (38.2±1.6) years,using high-frequency probe in and around the rectus abdominis with vertical,horizontal,oblique scanning,the data were divided into invasive disease,infectious disease,cancer and tumor-like lesions of three categories,analysis the ultrasonographic characteristics of various diseases and specificity of ultrasound.Results The sensitivity and specificity of high-frequency ultrasound applied in the lesion in and around the rectus abdominis were 97.4% (37/38) and 73.7% (28/38),in which the specificity of invasive disease,infectious disease,tumor and tumor-like lesions were 75.0%(9/12),90.0%(9/10),62.5%(10/16).Conclusions High-frequency ultrasound can be used as the preferred imaging method in and around the rectus abdominis lesions,among it infectious disease and traumatic lesions with higher specificity but tumor and tumor-like lesions with lower specificity.
出处
《中华临床医师杂志（电子版）》
CAS
2011年第21期6313-6317,共5页
Chinese Journal of Clinicians(Electronic Edition)
基金
深圳市龙岗区"专家提升计划"攻关项目(ZJTS22009009)
关键词
超声检查
腹直肌
Ultrasonography
Rectus abdominis
