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目的研究16例咽食管憩室患者超声声像特征与临床诊断价值。方法纳入2015年8月~2016年6月我院收治的16例咽食管憩室患者作为研究对象,均接受超声诊断,对其临床资料进行回顾性分析,并对照术后病理结果、消化道钡餐造影结果与胃镜检查结果。结果超声诊断结果准确率为100%;所有患者病灶都在甲状腺左叶后方,形态比较规则,并且边界清晰,12例呈现强回声,均未呈现明显血流信号;吞咽过程中,9例病灶位置没有明显移动,而和甲状腺间存在相对运动;7例病灶位置稍微移动,而和甲状腺间不存在明显相对运动,吞咽后,11例憩室形态与内部强回声具体分布产生变化;5例没有明显改变;饮水后,8例病灶里面强回声显著减弱或者消失;6例病灶里面强回声呈现点线状,且病灶与食管处于相通状态,并且强回声为气体,不属钙化灶。结论对咽食管憩室患者采取超声诊断法,可获得准确诊断结果,为患者术后治疗提供了指导。
Objective To study the ultrasonographic features and clinical value of 16 cases of pharyngoesophageal diverticulum. Methods Totally 16 patients with pharyngoesophageal diverticulum admitted from August 2015 to June 2016 in our hospital were enrolled in this study. All patients underwent ultrasound diagnosis. The clinical data were retrospectively analyzed. The pathological findings, gastrointestinal barium meal Results and endoscopy results. Results The accuracy of ultrasonic diagnosis was 100%. All the lesions were located behind the left lobe of thyroid. The morphology was relatively regular and the border was clear. Twelve cases showed strong echo, and no significant blood flow signal was observed. During the swallowing, 9 lesions There was no obvious movement, but there was relative movement between thyroid and thyroid. There was a slight shift in the location of seven lesions and no significant relative movement with thyroid. After swallowing, the specific distribution of 11 diverticula morphology and internal strong echo changed; ; After drinking water, 8 cases of lesions inside the strong echo significantly weakened or disappeared; 6 cases of lesions showed strong echoes linear line, and the lesion and esophagus are in communication, and the strong echo of gas, not a calcification. Conclusion Ultrasound diagnosis of pharyngoesophageal diverticulum patients can get accurate diagnosis results and provide guidance for postoperative treatment.