医学交流课件：B超胃肠道

1、 DUODENUM 十二指肠 ULTRASONOGRAPHIC ANATOMY 超声解剖 DUODENUM 十二指肠 PATHOLOGY 病状 Related to pancreatitis, peritonitis, FB, IBD 与胰腺炎，腹膜炎，异物，肠炎 有关 Related to FB, pancreatitis, peritonitis 与异物，胰腺炎，腹膜炎有关 Up to 直到 DUODENUM 十二指肠 PATHOLOGY 病状 First pass through stomach, often lodges at proximal duodenal flexure 先通过

2、胃，常滞留在十二指肠前曲 Helicobacter pylori infections, often secondarily affecting adjacent pancreas 幽门螺旋杆菌，常继发感染胰腺 Often infiltrates readily seen 通常容易看到浸润 JEJUNUM, ILEUM 空肠,回肠 ULTRASONOGRAPHIC ANATOMY 超声解剖 JEJUNUM, ILEUM 空肠,回肠 ULTRASONOGRAPHIC ANATOMY 超声解剖 JEJUNUM, ILEUM 空肠,回肠 ULTRASONOGRAPHIC ANATOMY 超声解剖 S

3、tart with right kidney, angle transducer medially, find IC junction in sagittal plane 从右肾起将探头指向内侧，找到回结 肠连接部的纵切面 Find transverse colon, move caudally, find IC junction in transverse section 找到横结肠，向后移动，找到回结肠 连接部的横切面 Ileum thicker than other segments, colonic wall thin 回肠较其他肠段厚，结肠壁薄 Lymph nodes Ileocol

4、ic junction Ileum JEJUNUM, ILEUM 空肠,回肠 SCANNING TIPS / PITFALLS 检查点/陷阱 Gas moves uppermost 气体向上移动 Easier to “see” into GIT 更容易检查胃肠道内部 Topography distorted 局部解剖曲解 Gas prohibits visualisation 气体影响观察 GIT spreads out anatomically 胃肠道依解剖结构展开 JEJUNUM, ILEUM 空肠,回肠 PATHOLOGY 病状 Balls 球 Curvilinear 曲线 Linear

5、 FBs 线形异物 Plication 折的 Secondary changes 继发变化 reactive peritonitis 反应性腹膜炎 lymphadenopathy 淋巴结病 free fluid 腹水 JEJUNUM, ILEUM 空肠,回肠 PATHOLOGY 病状 Mottled, speckled mucosa 粘膜色斑，斑点 Thickened wall, usually layered 壁增厚，常有层次 Corrugation 起皱 JEJUNUM, ILEUM 空肠,回肠 PATHOLOGY 病状 Concentric ring 同心圆 Secondary to 继发于 Severe gastroenteritis 严重肠炎 FBs 异物 Neoplasia 肿瘤 JEJUNUM, ILEUM 空肠,回肠 PATHOLOGY 病状 Concentric ring 同心圆 Secondary to 继发于 Severe gastroenteritis 严重肠炎 FBs 异物 Neoplasia 肿瘤 JEJUNUM, ILEUM 空肠,回肠 PATHOLOGY 病状 Lymphosarcoma 淋巴肉瘤 Carcin