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目的本文主要探讨超声诊断脾肿大,鉴别来自于肝硬化还是血液系统疾病所致脾肿大的超声鉴别要点及临床意义。方法应用超声诊断仪,3.5 MHz频率的探头,对包头医学院第一附属医院192例脾肿大患者进行检查,并与临床诊断结果相对照。结果 192例脾肿大患者,其中2例是血液系统肿瘤,临床诊断慢性粒细胞白血病,超声误诊为肝病所致脾肿大。结论目前诊断脾肿大临床普遍首选超声,因为超声检查方便无创,能够给临床提供较为准确的诊断依据。但是必须结合临床,仔细观察图像,千万不要把血液系统疾病所致脾肿大,误诊为肝硬化造成脾肿大。
Objective This article mainly discusses the ultrasound diagnosis of splenomegaly, to identify from cirrhosis or hematological diseases caused by splenomegaly ultrasound points and clinical significance. Methods A total of 192 splenomegaly patients in the First Affiliated Hospital of Baotou Medical College were examined by ultrasonic diagnostic apparatus and 3.5 MHz frequency probe. The results were compared with those of clinical diagnosis. Results 192 cases of splenomegaly patients, including 2 cases of hematological malignancies, clinical diagnosis of chronic myelogenous leukemia, ultrasound misdiagnosed as liver disease caused by splenomegaly. Conclusions The diagnosis of splenomegaly is currently the first choice of clinical ultrasound, because of the convenience of noninvasive ultrasonography, to provide a more accurate basis for clinical diagnosis. But must be combined with clinical, careful observation of the image, do not spleen enlargement caused by blood diseases, misdiagnosed as cirrhosis of the spleen.