3esvas b超-small intestines ultrasound chen胃肠道超声检查

SonographyoftheGastrointestinalTractPatrickKircherDip欧洲兽 DivisionofRadiology临床放射学部UniversityofBern伯尔尼大BariumBariumStudyvsVSReadilyNotoperatorMaterialandtime-Ionizing

WallforeignmaterialisMotilityChangesinotherNormalultrasonographicappearanceoftheGI-tractGIwallLumen肠粘膜Lumen肠mucosalsurfacemucosa粘膜层submucosa粘膜下层muscle肌层serosa浆膜层Walllayering:Walllayering:small壁层层次：小GIwallDogCatStomach3-52-4.45Jejunum2-42-4Colon~2~2Peyer‘s派伊尔氏斑(蠕动Stomach胃 Smallbowel小肠 病史diarrhea腹泻anorexiaweightlossabdominalpainenteritisenteritisobstruction梗dilatedbowel手

medical内科治QuestionstoGeneralizedorfocal泛发性的或局部扩张Normalperistalsis正常蠕动Foreignmaterial杂质Enlargedlymphnodes? 增大Otherabnormalorgans?其他异 Generalizedorfocal泛发性的或局部扩张dilated扩andnormalbowel正常的肠怀疑是梗阻suspiciousfor怀疑是梗阻AbnormalAcute?activecontractions急性？－主动Chronicstatic慢性？－静杂质Foreignbody:异物–Hyperechoicwithin肠腔内有高回声–Acousticshadowing声–Variableinternal结构多“dirty”shadowing“混杂的”声影 “clean”shadowing“清晰的”声影ForeignBodies异 布Intactsuper完整的特大号Spongeball海绵球碎LinearForeign线型异Nylon尼龙LinearForeign线性异Sewingthread缝纫L 异L异肠套Enlargedmesentericlymphnodes?肠系膜 是否增大Involvementofotherorgans dilatedbowel肠环扩obstruction梗verydilatedbowelloopandnormalbowel有扩张得很厉害的肠环和正常的肠abnormalto-and-fro异常的往复式蠕intraluminalforeign管腔内杂normalwalllayers正常的肠壁层

enteritis肠generalized泛发性colonisoftenfluid-结肠内通常充满液hyperperistalsis蠕动亢abnormalwall异常的肠壁层mildlymphnode轻度的 增Splicated单纯梗VS.复杂梗Hyperechoicmesentery高回声的肠系Peritonealeffusion腹Peritonealgas腹部积Ischemia?局部缺血Edematousbowelwalls肠壁水Corrugatedbowelwalls肠壁褶复杂肠梗

渗出肠壁水thickened肠壁增

neoplasiaBowelwallthickness肠壁厚Mix,„Lara“,fs,混种犬„Lara“，绝育母犬，9vomitusandweightlossforseveralweeks gastricwall=18mmuniformlyhypoechoicMix,„Lara“,fs,混种犬„Lara“，绝育母犬，9肝LNPV胰腺静regional局部 thickenedfocal

neoplasia肿局局

walllayersmildlymphnode轻度的 肿

enlargedregionallymph局部 增metastasistootherUltrasoundisaverysensitive(81%)andspecific(71%)diagnostictechniquetodetectgastrictumours.超声检查是一种对检测胃部肿瘤有很高敏(81%)和特异性（71％） 技术sensitivitydependsonexperienceofsonographer:sensitivityraisedforthesame from43%to81%within2years Pennincketal,1997,1998;Kaser-HotzEaston;Vet.Radiol.Ultrasound.42SmallintestinalFelineLSA:猫的淋巴肉瘤：回8yroldDSHA:constipated,2dayofvomiting SmallintestinalaAbscessinthewalloftheComplications:InflammatorybowelHistologicevidenceofinflammationinsmallorlargeintestinalwall.小肠或大肠肠壁有炎症的组织学迹lymphocytic-plasmacyticeosinophilicenteritisprotein-losingenteropathy isSIBOhistiocyticulcerativecolitisinBoxerInflammatorybowelWalllayersintact,maybeindistinctorHyperechoic„flecks“inthemucosa,thickenedNormaltoslightlythickenedMildlymphadenomegaly有轻度的 IncreasedordecreasedperistalsisUseofUS-guidedFNAandcoreb