【】 目的 探讨高频超声检查对咽食管憩室的诊断价值。方法 回顾性分析我院高频超声检查中发现并经内镜和X线确诊的13例咽食管憩室的患者资料,总结其超声声像图特征,重点观察病灶内部回声及其与食管关系,结合按压、饮水、吞咽动作等观察病灶变化。结果 13个病灶均位于甲状腺左叶后方,表现为大小不等的内部有强回声的混合性包块,形态规则,壁多不厚,边界清晰,根据病灶内含气量的多少表现分为3型；吞咽活动时所有包块与甲状腺呈相对运动,按压时包块可压缩变化8例,饮水时6例包块内部可见液体流动。结论 咽食管憩室具有一定的高频超声特征性表现,同时结合饮水、吞咽动作及加压等辅助方法能有效地进行诊断及鉴别诊断,具有较好的临床诊断价值。 关键词 : 咽食管憩室 高频超声 声像图特征性表现 投稿时间：2018-01-10 修订日期：2018-02-19 基金项目 : 【】 Objective to explore the diagnostic value of high frequency ultrasonography in pharynx"s diverticulum. Methods Retrospective analysis and endoscopic and X-ray diagnosis of 13 cases of pharyngoesophageal diverticulum were found in our hospital, high-frequency ultrasound to summarize the sonographic characteristics of lesions were observed on internal echo and the relationship with esophageal, pressing, drinking water, swallowing observed lesions change. Results 13 lesions were located in the left lobe of the thyroid rear, showed mixed mass, irregular form internal sizes have strong echo, wall is not thick, the boundary is clear, according to the performance of lesions containing gas is divided into 3 types; all activities during swallowing mass and the thyroid gland was relative movement, when pressed packet compression blocks can be changed in 8 cases, 6 cases of water masses visible inside the liquid flow. Conclusion pharynx esophagus diverticulum has some characteristics of high-frequency ultrasound. Combined with the auxiliary methods of drinking water, swallowing movement and pressure, it can effectively diagnose and differentiate the pharyngeal diverticulum. It has a good clinical diagnostic value. Key words : Pharynx esophagus diverticulum high frequency ultrasound Feature representation of sound image

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