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目的探讨非外伤性腹水的超声诊断与鉴别诊断。方法对400例非外伤性腹水病例的临床与超声检查资料进行回顾性分析,并按声像图特点进行分类,总结其超声诊断与鉴别诊断方法。结果非外伤性腹水按声像图特征可分为粘连型腹水、非粘连型腹水、内脏与血管自发破裂型腹水三类,如结合临床或超声引导下介入穿刺抽液细胞学检查,大部分可明确病因。结论超声对非外伤性腹水的超声诊断与鉴别诊断有重要价值。
Objective To investigate the ultrasonic diagnosis and differential diagnosis of non-traumatic ascites. Methods The clinical and ultrasonographic data of 400 cases of non-traumatic ascites were retrospectively analyzed. According to the features of sonography, the methods of ultrasound diagnosis and differential diagnosis were summarized. Results Non traumatic ascites can be classified into three types: ascitic fluid with ascites, non-adhesion ascites, visceral and spontaneous rupture of ascites according to sonographic features. Most of the non-traumatic ascites can be divided into three groups according to the clinical or ultrasound- Clear cause. Conclusion Ultrasound has important value in the diagnosis and differential diagnosis of non-traumatic ascites.