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中华肝脏外科手术学电子杂志 ›› 2013, Vol. 02 ›› Issue (05) : 306 -309. doi: 10.3877/cma.j.issn.2095-3232.2013.05.008

所属专题: 文献

临床研究

经腔道超声造影用于诊断瘘的价值
许尔蛟1, 郭欢仪1, 任洁1, 张曼1, 苏中振1, 郑荣琴1,()   
  1. 1. 510630 广州,中山大学附属第三医院超声科
  • 收稿日期:2013-06-04 出版日期:2013-10-10
  • 通信作者: 郑荣琴
  • 基金资助:
    广东省医学科研基金(B2013137); 广东省科技计划项目(2009B060700026)

Value of intracavitary contrast-enhanced ultrasound in the diagnosis of fistulas

Er-jiao XU1, Huan-yi GUO1, Jie REN1, Man ZHANG1, Zhong-zhen SU1, Rong-qin ZHENG1,()   

  1. 1. Department of Medical Ultrasonics, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
  • Received:2013-06-04 Published:2013-10-10
  • Corresponding author: Rong-qin ZHENG
  • About author:
    Corresponding author: ZHENG Rong-qin, Email:
引用本文:

许尔蛟, 郭欢仪, 任洁, 张曼, 苏中振, 郑荣琴. 经腔道超声造影用于诊断瘘的价值[J/OL]. 中华肝脏外科手术学电子杂志, 2013, 02(05): 306-309.

Er-jiao XU, Huan-yi GUO, Jie REN, Man ZHANG, Zhong-zhen SU, Rong-qin ZHENG. Value of intracavitary contrast-enhanced ultrasound in the diagnosis of fistulas[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2013, 02(05): 306-309.

目的

探讨经腔道超声造影(IC-CEUS)用于诊断瘘的价值。

方法

回顾性分析2009年6月至2012年7月在中山大学附属第三医院超声科先后接受常规超声检查(CUS)、IC-CEUS,经X线瘘管造影或手术证实的20例瘘患者临床资料。所有患者均签署知情同意书,符合医学伦理学规定。其中男14例,女6例;年龄17~77岁,中位年龄56岁。分别计算CUS和IC-CEUS对瘘的诊断符合率。两种方法的诊断符合率比较采用χ2检验。

结果

20例患者中,CUS确诊瘘5例,但未能明确定位瘘管,诊断符合率为25%(5/20)。IC-CEUS确诊瘘18例,均能明确定位瘘管,诊断符合率为90%(18/20)。IC-CEUS对瘘的诊断符合率明显高于CUS,差异有统计学意义(χ2=17.289,P<0.05)。

结论

相对于CUS检查,IC-CEUS对瘘有较高的检出能力,有可能成为诊断瘘的重要影像学手段之一。

Objective

To investigate the value of intracavitary contrast-enhanced ultrasound (IC-CEUS) in the diagnosis of fistulas.

Methods

Clinical data of 20 patients in Department of Medical Ultrasonics, the Third Affiliated Hospital of Sun Yat-sen University from June 2009 to July 2012 were enrolled in the study for retrospective analysis. The patients underwent examinations of conventional ultrasound (CUS) and IC-CEUS, and were confirmed with fistulas by X-ray fistulogram or operation. The informed consents of all patients were obtained and the ethical committee approval was received. There were 14 males and 6 females with age ranging from 17 to 77 years old and median age of 56 years old. The diagnostic coincidence rates of fistulas by CUS and IC-CEUS were calculated respectively. And the difference between two methods was compared by Chi-square test.

Results

Five fistulas were detected by CUS with the diagnostic coincidence rates of 25% (5/20), while the fistulas could not be located exactly. Eighteen fistulas were detected by IC-CEUS with the diagnostic coincidence rate of 90% (18/20) and all the fistulas could be located exactly. The diagnostic coincidence rate of IC-CEUS was evidently higher than that of CUS. There was significant difference between two methods(χ2=17.289, P<0.05).

Conclusions

IC-CEUS has higher detective ability for fistulas than CUS and it could be one of the important imaging means in the diagnosis of fistulas.

表1 CUS和IC-CEUS对瘘的诊断情况
[1]
Pickhardt PJ,Bhalla S,Balfe DM. Acquired gastrointestinal fistulas: classification, etiologies, and imaging evaluation. Radiology, 2002, 224(1): 9-23.
[2]
Lee JK,Stein SL. Radiographic and endoscopic diagnosis and treatment of enterocutaneous fistulas. Clin Colon Rectal Surg, 2010, 23(3): 149-160.
[3]
Mao R,Xu EJ,Li K, et al. Usefulness of contrast-enhanced ultrasound in the diagnosis of biliary leakage following T-tube removal. J Clin Ultrasound, 2010, 38(1): 38-40.
[4]
Alexander ES,Weinberg S,Clark RA, et al. Fistulas and sinus tracts: radiographic evaluation, management, and outcome. Gastrointest Radiol, 1982, 7(2): 135-140.
[5]
Goldman SM,Fishman EK,Gatewood OM, et al. CT in the diagnosis of enterovesical fistulae. AJR Am J Roentgenol, 1985, 144(6): 1229-1233.
[6]
Bruno O,Brancatelli G,Sauvanet A, et al. Utility of CT in the diagnosis of pancreatic fistula after pancreaticoduodenectomy in patients with soft pancreas. AJR Am J Roentgenol, 2009, 193(3): W175-W180.
[7]
Maconi G,Parente F,Bianchi Porro G. Hydrogen peroxide enhanced ultrasound-fistulography in the assessment of enterocutaneous fistulas complicating Crohn′s disease. Gut, 1999, 45(6): 874-878.
[8]
Albrecht T,Blomley M,Bolondi L, et al. Guidelines for the use of contrast agents in ultrasound: January 2004. Ultraschall Med, 2004, 25(4): 249-256.
[9]
Claudon M,Cosgrove D,Albrecht T, et al. Guidelines and good clinical practice recommendations for contrast enhanced ultrasound (CEUS): update 2008. Ultraschall Med, 2008, 29(1): 28-44.
[10]
Dietrich CF,Braden B,Hocke M, et al. Improved characterisation of solitary solid pancreatic tumours using contrast enhanced transabdominal ultrasound. J Cancer Res Clin Oncol, 2008, 134(6): 635-643.
[11]
D′Onofrio M,Megibow AJ,Faccioli N, et al. Comparison of contrast-enhanced sonography and MRI in displaying anatomic features of cystic pancreatic masses. Am J Roentgenol, 2007, 189(6): 1435-1442.
[12]
Kitano M,Kudo M,Maekawa K, et al. Dynamic imaging of pancreatic diseases by contrast enhanced coded phase inversion harmonic ultrasonography. Gut, 2004, 53(6): 854-859.
[13]
Tamai H,Takiguchi Y,Oka M, et al. Contrast-enhanced ultrasonography in the diagnosis of solid renal tumors. J Ultrasound Med, 2005, 24(12): 1635-1640.
[14]
Mazziotti S,Zimbaro F,Pandolfo A, et al. Usefulness of contrast-enhanced ultrasonography in the diagnosis of renal pseudotumors. Abdom Imaging, 2010, 35(2): 241-245.
[15]
Piscaglia F,Nolsøe C,Dietrich CF, et al. The EFSUMB guidelines and recommendations on the clinical practice of contrast enhanced ultrasound (CEUS): update 2011 on non-hepatic applications. Ultraschall Med, 2012, 33(1): 33-59.
[16]
Foschi FG,Piscaglia F,Pompili M, et al. Real-time contrast-enhanced ultrasound: a new simple tool for detection of peritoneal-pleural communications in hepatic hydrothorax. Ultraschall Med, 2008, 29(5): 538-542.
[17]
Ignee A,Baum U,Schuessler G, et al. Contrast-enhanced ultrasound-guided percutaneous cholangiography and cholangiodrainage(CEUS-PTCD). Endoscopy, 2009, 41(8): 725-726.
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