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目的再探讨超声对恶性腹膜间皮瘤的诊断要点。方法总结分析15例超声引导下介入活检病理诊断为恶性腹膜间皮瘤的超声资料。结果15例间皮瘤壁层腹膜厚薄不均,边界不整齐;腹膜线连续性中断,肿块部位回声低;网膜呈饼状不均性增厚,质硬感,边缘不整齐;超声引导下活检易取材,质硬,网膜不随针的提插而移动;CDFI:肿块内血流较丰富,11例RI<0.60,4例RI>0.60;病理:12例为上皮型,3例为腺管乳头型。结论弥漫性恶性腹膜间皮瘤有一定的超声特点,结合超声引导下活检能基本做出对该病的诊断与鉴别诊断。
Objective To explore the diagnosis of malignant peritoneal mesothelioma ultrasound points. Methods 15 cases of ultrasound-guided interventional biopsy pathological diagnosis of malignant peritoneal mesothelioma ultrasound data. Results The peritoneal thickness of 15 mesotheliomas was uneven and the border was not regular. The continuity of peritoneal line was interrupted and the echogenic mass was low. The omentum showed irregular thickening, hard texture and irregular edge. Under ultrasound guidance Biopsy easily available material hard, omentum does not move with the needle insertion; CDFI: mass within the mass flow, 11 cases of RI <0.60, 4 cases of RI> 0.60; pathology: 12 cases of epithelial type, 3 cases of glandular Tubular nipple type. Conclusions Diffuse malignant peritoneal mesothelioma has certain ultrasonic characteristics. Combined with ultrasound-guided biopsy, it can basically make the diagnosis and differential diagnosis of the disease.