3esvas b超-small intestines ultrasound chen胃腸道超聲檢查

SonographyoftheGastrointestinalTractPatrickKircherDip歐洲獸 DivisionofRadiology臨床放射學(xué)部UniversityofBern伯爾尼大BariumBariumStudyvsVSReadilyNotoperatorMaterialandtime-Ionizing

WallforeignmaterialisMotilityChangesinotherNormalultrasonographicappearanceoftheGI-tractGIwallLumen腸粘膜Lumen腸mucosalsurfacemucosa粘膜層submucosa粘膜下層muscle肌層serosa漿膜層Walllayering:Walllayering:small壁層層次：小GIwallDogCatStomach3-52-4.45Jejunum2-42-4Colon~2~2Peyer‘s派伊爾氏斑(蠕動(dòng)Stomach胃 Smallbowel小腸 病史diarrhea腹瀉anorexiaweightlossabdominalpainenteritisenteritisobstruction梗dilatedbowel手

medical內(nèi)科治QuestionstoGeneralizedorfocal泛發(fā)性的或局部擴(kuò)張Normalperistalsis正常蠕動(dòng)Foreignmaterial雜質(zhì)Enlargedlymphnodes? 增大Otherabnormalorgans?其他異 Generalizedorfocal泛發(fā)性的或局部擴(kuò)張dilated擴(kuò)andnormalbowel正常的腸懷疑是梗阻suspiciousfor懷疑是梗阻AbnormalAcute?activecontractions急性？－主動(dòng)Chronicstatic慢性？－靜雜質(zhì)Foreignbody:異物–Hyperechoicwithin腸腔內(nèi)有高回聲–Acousticshadowing聲–Variableinternal結(jié)構(gòu)多“dirty”shadowing“混雜的”聲影 “clean”shadowing“清晰的”聲影ForeignBodies異 布Intactsuper完整的特大號(hào)Spongeball海綿球碎L(zhǎng)inearForeign線型異Nylon尼龍LinearForeign線性異Sewingthread縫紉L 異L異腸套Enlargedmesentericlymphnodes?腸系膜 是否增大Involvementofotherorgans dilatedbowel腸環(huán)擴(kuò)obstruction梗verydilatedbowelloopandnormalbowel有擴(kuò)張得很厲害的腸環(huán)和正常的腸abnormalto-and-fro異常的往復(fù)式蠕intraluminalforeign管腔內(nèi)雜normalwalllayers正常的腸壁層

enteritis腸generalized泛發(fā)性colonisoftenfluid-結(jié)腸內(nèi)通常充滿液hyperperistalsis蠕動(dòng)亢abnormalwall異常的腸壁層mildlymphnode輕度的 增Splicated單純梗VS.復(fù)雜梗Hyperechoicmesentery高回聲的腸系Peritonealeffusion腹Peritonealgas腹部積Ischemia?局部缺血Edematousbowelwalls腸壁水Corrugatedbowelwalls腸壁褶復(fù)雜腸梗

滲出腸壁水thickened腸壁增

neoplasiaBowelwallthickness腸壁厚Mix,?Lara“,fs,混種犬?Lara“，絕育母犬，9vomitusandweightlossforseveralweeks gastricwall=18mmuniformlyhypoechoicMix,?Lara“,fs,混種犬?Lara“，絕育母犬，9肝LNPV胰腺靜regional局部 thickenedfocal

neoplasia腫局局

walllayersmildlymphnode輕度的 腫

enlargedregionallymph局部 增metastasistootherUltrasoundisaverysensitive(81%)andspecific(71%)diagnostictechniquetodetectgastrictumours.超聲檢查是一種對(duì)檢測(cè)胃部腫瘤有很高敏(81%)和特異性（71％） 技術(shù)sensitivitydependsonexperienceofsonographer:sensitivityraisedforthesame from43%to81%within2years Pennincketal,1997,1998;Kaser-HotzEaston;Vet.Radiol.Ultrasound.42SmallintestinalFelineLSA:貓的淋巴肉瘤：回8yroldDSHA:constipated,2dayofvomiting SmallintestinalaAbscessinthewalloftheComplications:InflammatorybowelHistologicevidenceofinflammationinsmallorlargeintestinalwall.小腸或大腸腸壁有炎癥的組織學(xué)跡lymphocytic-plasmacyticeosinophilicenteritisprotein-losingenteropathy isSIBOhistiocyticulcerativecolitisinBoxerInflammatorybowelWalllayersintact,maybeindistinctorHyperechoic?flecks“inthemucosa,thickenedNormaltoslightlythickenedMildlymphadenomegaly有輕度的 IncreasedordecreasedperistalsisUseofUS-guidedFNAandcoreb