阅读说明：本技术 一种胃、十二指肠超声检查标准切面的方法 (A kind of method of Stomach duodenum ultrasonic examination standard section ) 是由 程印蓉 杨芳 于 2019-08-27 设计创作，主要内容包括：本发明公开了一种胃、十二指肠超声检查标准切面的方法,涉及医学影像诊断技术领域,其技术方案要点是：从多个不同角度的标准切面的扫查手法获得声像图,将胃、十二指肠的超声扫查切面细分为多个标准切面；具体包括以下步骤：1)贲门及食管下段长轴切面；2)贲门及食管下段短轴切面；3)胃底切面；4)胃冠状斜切面；5)胃体短轴切面；6)胃体长轴切面；7)胃角部横切面；8)胃角部纵切面；9)胃窦短轴切面；10)胃窦长轴切面；11)十二指肠球部切面；12)十二指肠降部切面；13)十二指肠水平部切面。能够将胃、十二指肠的超声扫查切面细分为多个与相应的胃肠的解剖结构一致的标准切面,从而不易遗漏胃肠的结构,并提高超声检查的质量。(The invention discloses a kind of methods of Stomach duodenum ultrasonic examination standard section, it is related to medical imaging diagnosis technical field, its key points of the technical solution are that: ultrasonogram is obtained from the scanning gimmick of the standard section of multiple and different angles, the ultrasonic scan section of Stomach duodenum is subdivided into multiple standard sections；Specifically includes the following steps: 1) cardia and distal esophagus long axis view；2) cardia and distal esophagus short axis view；3) stomach undercut surfaces；4) the coronal scarf of stomach；5) body of stomach short axis view；6) body of stomach long axis view；7) stomach corner cross section；8) stomach corner longitudal section；9) antrum short axis view；10) antrum long axis view；11) duodenal bulb section；12) descendant duodenum section；13) pars horizontalis duodeni section.The ultrasonic scan section of Stomach duodenum can be subdivided into multiple with the consistent standard section of the anatomical structure of corresponding stomach and intestine, to be not easy to omit the structure of stomach and intestine, and improve the quality of ultrasonic examination.)

1. a kind of method of Stomach duodenum ultrasonic examination standard section, it is characterized in that: according to Stomach duodenum irregular shape The anatomical structure of state, by from the upper left abdomen of patient to midriff again to the standard of multiple and different angles of the sequence inertia of Right Lower Abdomen The scanning gimmick of section obtains ultrasonogram, the ultrasonic scan section of Stomach duodenum is subdivided into multiple standard sections, composition is not The three-dimensional dissection of the Stomach duodenum of rule；Specifically includes the following steps:

1) cardia and distal esophagus long axis view indulge ultrasonic probe according to desired ultrasonic examination condition under patient's xiphoid-process It cuts, then oblique left shoulder, the acoustic image for obtaining diaphram, esophageal open in diaphragm, esophagus abdomen section, cardia stomach bottom sheet conjunction portion and abdominal aorta is shown Figure；

2) cardia and distal esophagus short axis view, it is according to desired ultrasonic examination condition, ultrasonic probe is horizontal under patient's xiphoid-process It cuts, is then rotated by 90 ° ultrasonic probe and the section in step 1) counterclockwise, obtain diaphram, cardia short axle (cardia) and abdomen The acoustic image of aorta short axle shows figure；

3) stomach undercut surfaces chamfer ultrasonic probe, then carry out under left rib according to desired ultrasonic examination condition under the left rib of patient Crosscutting, the acoustic image display for obtaining stomach bottom and mucous membrane, spleen, tail of pancreas and left kidney is schemed；

4) the coronal scarf of stomach moves down ultrasonic probe from the section in step 3) according to desired ultrasonic examination condition It is chamfer to patient's left abdomen, then oblique right shoulder, obtains body of stomach, stomach angle, antrum, the pyloric valve and 12 seen from left to right The acoustic image of duodenum 12 shows figure；

5) body of stomach short axis view moves up ultrasonic probe from the section in step 4) according to desired ultrasonic examination condition Carried out to the left upper abdomen of patient it is crosscutting to place horizontal under navel, obtain situation under stomach and patient's navel, five layers of body of stomach front and rear wall tie Structure, stomach size be curved and the acoustic image of gastric peristaltic wave shows figure；

6) body of stomach long axis view revolves ultrasonic probe from the section in step 5) according to desired ultrasonic examination condition clockwise It is longitudinal sectional to turn probe upper abdomen into left patient, and moves up and down probe, acquisition body of stomach front and rear wall five-layer structure, stomach size be curved, liver, Pancreas and the sound wave in cardia stomach bottom sheet conjunction portion display figure；

7) ultrasonic probe is revolved counterclockwise from the section in step 6) according to desired ultrasonic examination condition in stomach corner cross section Turn and be moved to patient's midriff, make section crosswise of popping one's head in from bottom to top, obtains stomach angle, gastric angle, stomach that upper right is seen under The sound wave of body antrum front and rear wall five-layer structure and peristaltic wave display figure；

8) stomach corner longitudal section revolves ultrasonic probe from the section in step 7) according to desired ultrasonic examination condition clockwise It is longitudinal sectional to go to the progress of patient midfield, and moves left and right probe, obtains gastric angle, the body of stomach antrum front and rear wall five seen from front to back The sound wave of layer structure and peristaltic wave shows figure；

9) antrum short axis view revolves ultrasonic probe from the section in step 8) according to desired ultrasonic examination condition counterclockwise Turn, and be moved to upper abdomen in the patient right side and carry out crosscutting, it is aobvious to obtain antrum front and rear wall five-layer structure, the sound wave of greater curvature and lesser curvature Diagram；

10) antrum long axis view revolves ultrasonic probe from the section in step 9) according to desired ultrasonic examination condition counterclockwise It goes to upper abdomen in the patient right side and carries out longitudinal sectional acquisition antrum, gall-bladder and duodenal sound wave display figure；

11) duodenal bulb section, according to desired ultrasonic examination condition, by ultrasonic probe from the section in step 10) to Move right to patient's upper right abdomen carry out it is longitudinal sectional, obtain gall-bladder, antrum, pyloric valve, duodenal bulb and head of pancreas sound wave show Figure；

12) descendant duodenum section, according to desired ultrasonic examination condition, by ultrasonic probe from the section in step 11) to Under be moved to lower abdomen in the patient right side and carry out longitudinal sectional, obtain gall-bladder, the sound wave of descendant duodenum and head of pancreas shows figure；

13) pars horizontalis duodeni section, according to desired ultrasonic examination condition, by ultrasonic probe from the section in step 12) Move down, and rotate counterclockwise to patient the right side in lower abdomen carry out it is crosscutting after, ultrasonic probe is continued to middle lower abdomen, crosscutting movement To umbilical region, the sound wave for obtaining pars horizontalis duodeni, head of pancreas and abdominal aorta short axle shows figure.

2. the method for a kind of Stomach duodenum ultrasonic examination standard section according to claim 1, it is characterized in that: step 1) it is patient's fasting state and patient is made to keep horizontal position with the ultrasonic examination condition of requirement described in step 2).

3. the method for a kind of Stomach duodenum ultrasonic examination standard section according to claim 1, it is characterized in that: step 3) for patient diet's imaging assistant and patient is made to keep erect position to the ultrasonic examination condition of the requirement described in step 13).

4. the method for a kind of Stomach duodenum ultrasonic examination standard section according to claim 3, it is characterized in that: step 3) to the imaging assistant described in step 13) be quick soluble imaging assistant for gastrointestinal ultrasonic diagnosis, and prepare imaging assistant method are as follows: including following tool Body step:

A, product of trying to please is greater than the cup of 500ml, and the boiled water that temperature is 100 DEG C is poured into cup, and the dosage of boiled water is 500ml；

B, the quick soluble imaging assistant for gastrointestinal ultrasonic diagnosis of common dose is taken, and quick soluble imaging assistant for gastrointestinal ultrasonic diagnosis uniform speed slow is poured into step A Cup in, and be continuously agitated using stirring rod, until the foam of cup upper layer floating completely disappears, i.e. completion imaging assistant Brew preparation.

Technical field

The present invention relates to medical imaging diagnosis technical fields, more specifically, it relates to which a kind of Stomach duodenum ultrasound is examined The method for looking into standard section.

Background technique

Gastrointestinal tract occupies the 3/4 of abdominal cavity volume, constitutes the overwhelming majority of digest tube, is that digestive system disease incidence is highest dirty Device, and clinically one of higher internal organs of disease incidence.For clear diseased region, property etc., often by different inspection methods Auxiliary diagnosis.From after foreign scholar's Wslls and Lutz application ultrasonic method diagnosis of gastric cancer in 1976, scholars carry out in succession Deeper into research.With the application of a digitlization Ultrasound Instrument and acoustic contrast, the clinical value of gastro intestinal ultrasonic inspection is into one Step improves.

Gastro intestinal ultrasonic contrast examination method is also known as stomach and intestine and fills inspection technique, it is to fill gastrointestinal cavity by a kind of contrast agent, should Class contrast agent fills after gastrointestinal cavity that display is similar to the echo of substantive tissue on ultrasonogram, eliminate gas in gastral cavity and Mucus interference and gastrointestinal wall and liver, spleen, generate apparent contrast effect between pancreas at gallbladder, clearly display the level knot of gastrointestinal wall Structure, so that gastrointestinal lumen be made to generate optimal acoustic contrast effect；And do not generate the rear enhancing of gastrointestinal cavity and gastrointestinal wall enhancing The ultrasonic artifacts such as effect, reverberation effect and relaxation phenomenon compensate for the deficiency using echoless type gastrointestinal contrast agent, improve disease The resolution ratio and recall rate (there is very strong resolving power particularly with low echo lesion) of stove；Simultaneously to adjoin around stomach internal organs and Tissue also can clearly show, especially pancreas, extrahepatic bile ducts, the display of blood vessel is special around stomach and after retroperitoneal lymph node, peritonaeum It is not clear, enrich the information of lesion image.

Stomach duodenum ultrasonic examination standard section is incited somebody to action according to the anatomical structure of the irregular form of Stomach duodenum Gastroduodenal ultrasonic scan section is subdivided into multiple standard sections, by from upper left abdomen to midriff again to the sequence of Right Lower Abdomen The standard section scanning gimmick ultrasonogram obtained of the multiple and different angles of inertia, composition one it is irregular about at " S " stomach The dissection of duodenum solid.

Summary of the invention

The object of the present invention is to provide a kind of method of Stomach duodenum ultrasonic examination standard section, can from it is multiple not With the decomposition section of angle, the ultrasonic scan section of Stomach duodenum is subdivided into multiple standard sections, and make standard section with The anatomical structure of corresponding stomach and intestine is consistent, convenient for forming the three-dimensional dissection of irregular Stomach duodenum, so that right It during Stomach duodenum carries out ultrasonic examination, is not easy to omit the structure of stomach and intestine, convenient for improving the quality of ultrasonic examination；Meanwhile During carrying out ultrasonic examination to patient, convenient for saving the review time of patient and doctor.

Above-mentioned technical purpose of the invention has the technical scheme that a kind of Stomach duodenum ultrasound The method of check criteria section, according to the anatomical structure of the irregular form of Stomach duodenum, through the upper left abdomen from patient into Abdomen obtains ultrasonogram to the scanning gimmick of the standard section of multiple and different angles of the sequence inertia of Right Lower Abdomen again, by stomach, 12 The ultrasonic scan section of duodenum 12 is subdivided into multiple standard sections, forms the three-dimensional dissection of irregular Stomach duodenum；Specific packet Include following steps:

1) cardia and distal esophagus long axis view, according to desired ultrasonic examination condition, by ultrasonic probe from patient's xiphoid-process Under longitudinal sectional, then oblique left shoulder, the acoustic image for obtaining diaphram, esophageal open in diaphragm, esophagus abdomen section, cardia stomach bottom sheet conjunction portion and abdominal aorta is aobvious Diagram；

2) cardia and distal esophagus short axis view, according to desired ultrasonic examination condition, by ultrasonic probe from patient's xiphoid-process Under it is crosscutting, then ultrasonic probe and the section in step 1) are rotated by 90 ° counterclockwise, obtain diaphram, cardia short axle (cardia) Figure is shown with the acoustic image of abdominal aorta short axle；

3) stomach undercut surfaces chamfer ultrasonic probe, then carry out a left side according to desired ultrasonic examination condition under the left rib of patient Crosscutting under rib, the acoustic image display for obtaining stomach bottom and mucous membrane, spleen, tail of pancreas and left kidney is schemed；

4) the coronal scarf of stomach, it is according to desired ultrasonic examination condition, ultrasonic probe is downward from the section in step 3) Be moved to patient's left abdomen to chamfer, then oblique right shoulder, obtain see from left to right body of stomach, stomach angle, antrum, pyloric valve and Duodenal acoustic image display figure；

5) body of stomach short axis view, it is according to desired ultrasonic examination condition, ultrasonic probe is upward from the section in step 4) It is moved to the left upper abdomen of patient and carries out crosscutting to place horizontal under navel, obtain situation, body of stomach front and rear wall five under stomach and patient's navel Layer structure, stomach size be curved and the acoustic image of gastric peristaltic wave shows figure；

6) body of stomach long axis view, according to desired ultrasonic examination condition, by ultrasonic probe from the section up time in step 5) Needle rotating detector upper abdomen into left patient is longitudinal sectional, and moves up and down probe, obtain body of stomach front and rear wall five-layer structure, stomach size it is curved, The sound wave of liver, pancreas and cardia stomach bottom sheet conjunction portion shows figure；

7) stomach corner cross section, according to desired ultrasonic examination condition, by ultrasonic probe from the section inverse time in step 6) Needle rotates and is moved to patient's midriff, and making probe, section, stomach angle, the stomach angle that acquisition upper right is seen under are cut crosswise from bottom to top The sound wave of mark, body of stomach antrum front and rear wall five-layer structure and peristaltic wave shows figure；

8) stomach corner longitudal section, according to desired ultrasonic examination condition, by ultrasonic probe from the section up time in step 7) Needle, which is rotated to patient midfield, to carry out longitudinal sectional, and moves left and right probe, obtains the gastric angle seen from front to back, body of stomach antrum front and back The sound wave of wall five-layer structure and peristaltic wave display figure；

9) antrum short axis view, according to desired ultrasonic examination condition, by ultrasonic probe from the section inverse time in step 8) Needle rotation, and be moved to upper abdomen in the patient right side and carry out crosscutting, the sound of acquisition antrum front and rear wall five-layer structure, greater curvature and lesser curvature Wave display figure；

10) antrum long axis view, according to desired ultrasonic examination condition, by ultrasonic probe from the section inverse time in step 9) Needle rotates into the patient right side upper abdomen and carries out longitudinal sectional acquisition antrum, gall-bladder and duodenal sound wave display figure；

11) duodenal bulb section, according to desired ultrasonic examination condition, by ultrasonic probe from cutting in step 10) It is longitudinal sectional to the progress of patient's upper right abdomen towards moving right, obtain the sound wave of gall-bladder, antrum, pyloric valve, duodenal bulb and head of pancreas Display figure；

12) descendant duodenum section, according to desired ultrasonic examination condition, by ultrasonic probe from cutting in step 11) It is moved to lower abdomen in the patient right side downwards and carries out longitudinal sectional, the sound wave display figure of acquisition gall-bladder, descendant duodenum and head of pancreas；

13) pars horizontalis duodeni section, according to desired ultrasonic examination condition, by ultrasonic probe from step 12) Section moves down, and rotate counterclockwise to patient the right side in lower abdomen carry out it is crosscutting after, ultrasonic probe is continued to middle lower abdomen, it is crosscutting It is moved to umbilical region, the sound wave for obtaining pars horizontalis duodeni, head of pancreas and abdominal aorta short axle shows figure.

The present invention is further arranged to: the ultrasonic examination condition of requirement described in step 1) and step 2) is patient's empty stomach State and make patient keep horizontal position.

The present invention is further arranged to: the ultrasonic examination condition of requirement described in step 3) to step 13) is patient's drink It eats imaging assistant and patient is made to keep erect position.

The present invention is further arranged to: imaging assistant described in step 3) to step 13) is quick soluble imaging assistant for gastrointestinal ultrasonic diagnosis, And the method for preparing imaging assistant are as follows: comprising the following specific steps

A, product of trying to please is greater than the cup of 500ml, and the boiled water that temperature is 100 DEG C is poured into cup, and the dosage of boiled water is 500ml；

B, the quick soluble imaging assistant for gastrointestinal ultrasonic diagnosis of common dose is taken, and quick soluble imaging assistant for gastrointestinal ultrasonic diagnosis uniform speed slow is poured into step It in the cup of rapid A, and is continuously agitated using stirring rod, until the foam of cup upper layer floating completely disappears, that is, completes to help aobvious Agent brews preparation.

The invention has the following advantages:

1, by the scanning gimmick of 13 standard sections of the foundation of step 1) to step 13), make standard section and corresponding Stomach and intestine anatomical structure it is consistent, so as to make to Stomach duodenum carry out ultrasonic examination during, be not easy to omit stomach The structure of intestines, convenient for improving the quality of ultrasonic examination；

2, the ultrasound of Stomach duodenum is swept to step 13) from the decomposition section of multiple and different angles by step 1) It looks into section and is subdivided into multiple standard sections, convenient for forming the three-dimensional dissection of irregular Stomach duodenum；

3, during carrying out ultrasonic examination to patient, by the method for the erect position of step 3) to step 13), it is convenient for Save the review time of patient and doctor；

4, the standard section established by step 1) to step 13), convenient for the scanning gimmick of Stomach duodenum ultrasonic examination Popularization and control to Stomach duodenum ultrasonic examination quality.

Detailed description of the invention

Fig. 1 is that Stomach duodenum ultrasonic examination standard section gimmick indicates schematic diagram in the embodiment of the present invention；

Fig. 2 is the structural schematic diagram of Stomach duodenum in the embodiment of the present invention；

Fig. 3 is the acoustic image display figure of cardia and distal esophagus long axis view in the embodiment of the present invention；

Fig. 4 is the acoustic image display figure of cardia and distal esophagus short axis view in the embodiment of the present invention；

Fig. 5 is the acoustic image display figure of stomach undercut surfaces in the embodiment of the present invention；

Fig. 6 is the acoustic image display figure of the coronal scarf of stomach in the embodiment of the present invention；

Fig. 7 is the acoustic image display figure of body of stomach short axis view in the embodiment of the present invention；

Fig. 8 is the acoustic image display figure of body of stomach long axis view in the embodiment of the present invention；

Fig. 9 is the acoustic image display figure of stomach corner section crosswise in the embodiment of the present invention；

Figure 10 is the acoustic image display figure of stomach corner longitudal section in the embodiment of the present invention；

Figure 11 is the acoustic image display figure of antrum short axis view in the embodiment of the present invention；

Figure 12 is the acoustic image display figure of antrum long axis view in the embodiment of the present invention；

Figure 13 is the acoustic image display figure of duodenal bulb section in the embodiment of the present invention；

Figure 14 is the acoustic image display figure of descendant duodenum section in the embodiment of the present invention；

Figure 15 is the acoustic image display figure of pars horizontalis duodeni section in the embodiment of the present invention.

In figure: 1, cardia and distal esophagus long axis view；2, cardia and distal esophagus short axis view；3, stomach undercut surfaces；4, The coronal scarf of stomach；5, body of stomach short axis view；6, body of stomach long axis view；7, stomach corner cross section；8, stomach corner longitudal section；9, stomach Sinus short axis view；10, antrum long axis view；11, duodenal bulb section；12, descendant duodenum section；13,12 refer to Intestines horizontal part section.

Specific embodiment

Below in conjunction with attached drawing, invention is further described in detail.