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1脾周韧带对脾破裂腹腔积血解剖分布的影响：超声-解剖学研究

陈红艳,张梅,杨开清,彭玉兰,罗燕,杨志刚

2005引用：23

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2The Diagnostic Value of Ultrasound Detecting Acute Fluid Collection

罗燕,李永忠,邱逦,马文敏,胡运开

Objective　To assess the diagnostic value of ultrasound detecting acute fluid collection. Methods　100 AP patients who accepted CT scans and same term ultrasound examination were studied retrospectively from 1996 to 1998. Results　The sensitivity, specificity and accuracy for ultrasound detecting acute fluid collection were 83%, 94%and92% respectively. Conclusion　Ultrasound can detecting AFC correctly in AP.

2001Chinese Journal of Medical Imaging Technology（2001）引用：4

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3急性胰腺炎时超声观察胸腔积液的准确性及其临床意义

马文敏,罗燕,马步云,彭玉兰,袁朝新

目的:了解急性胰腺炎时超声观察胸腔积液的准确性及其临床意义.方法:回顾分析了本院三年中627例急性胰腺炎的超声检查资料,其中100例行110次CT检查,通过与CT比较分析超声判断胸腔积液病变的准确性及急性胰腺炎时胸腔积液的临床意义.结果:超声对胸腔积液诊断的敏感性、特异性及准确性分别为88.1%、90.2%及89.4%.在轻症胰腺炎中,胸腔积液的出现率为2.9%(左侧)及8.3%(右侧);在重症胰腺炎中,胸腔积液的出现率为76.0%(左侧)及53.6%(右侧);有胸腔积液者平均住院日为23～30天,而无胸腔积液者平均住院日为14～15天;左侧胸腔积液较右侧更常见,但后者的住院日及重症胰腺炎发生率均较前者高.结论:胸腔积液是急性胰腺炎时最常出现的并发症之一,超声能较准确地反映胸腔积液病变;胸腔积液与急性胰腺炎的轻重及住院时间长短有关;右侧胸腔积液预示着疾病更严重.

2001CHINESE JOURNAL OF ULTRASONIC DIAGNOSIS（2001）

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4The accuracy and clinical significance of left anterior pararenal-s pace abnormality observed by ultrasound in acute pancreatitis

罗燕,彭玉兰,文晓蓉,李永忠,袁朝新

Objective　To determine the accuracy and cli nical significance of left anterior pararenal-space(LAPS) observed by ultrasou nd(US) in acute pancreatitis(AP).Methods　Six hundred and twenty-seven AP patients were studied retrospectively. All patients were examined by US and 100 cases accepted 108 ti mes CT scan.Results　The sensitivity, specificity and accuracy of US for det ecting LAPS fluid collection were 65.0%,92.1%,87.1% respectively, and were 75.0%,100%, 99.1% for detecting LAPS necrosis. In mild AP, the emerge nce rate of LAPS fluid collection and necrosis were 11.8% and 0.2% wh ile in severe AP were 44.0% and 12.0%. The hospital stay with and withou t LAPS fluid collection was 29.0 days and 15.5 days respectively.Conclusions　LAPS was one of the most common site of AP fluid collection. The LAPS abnormalities are proportional to the hospital stay and the severity of AP, these can observed by ultrasound correctly.

2001Chinese Journal of Ultrasonography（2001）引用：22

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5胆囊癌超声诊断55例

邱逦,李永忠,罗燕

胆囊癌是一种恶性程度极高的肿瘤[1-6,8-15],其早期发现对患者的治疗和预后有重要意义[16-30].超声作为一种检查胆囊疾病的常用方法,其准确性十分重要.我们回顾性分析了1995/2000年经手术及病理证实的55例胆囊癌的术前B超检查结果,旨在探讨胆囊癌的超声诊断及其误诊原因.

2001WORLD CHINESE JOURNAL OF DIGESTOLOGY（2001）引用：2

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610 cases of parathyroid adenoma diagnosed by ultrasonography

马文敏,彭玉兰,代琳,罗燕,李永忠

目的为提高甲状旁腺肿瘤的超声诊断水平.方法回顾性分析了由超声检查发现并经手术证实的甲状旁腺腺瘤10例.结果高频超声对甲状旁腺肿瘤的定位和定性非常重要,尤以12MHz探头对发现较小瘤体极有价值;彩色多谱勒可提供肿瘤血供情况,有助于甲状旁腺肿瘤与甲状腺肿瘤的鉴别.建议原发性甲旁亢患者均应进行高频超声检查,提高甲状旁腺肿瘤的诊断率.结论高频超声能够诊断甲状旁腺肿瘤.

2001JOURNAL OF ULTRASOUND IN CLINICAL MEDICINE（2001）

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7Acuracy and Clinical Significance of Lesser Omentum Sac Abnormality Observed by Ultrasound in Acute Pancreatitis

罗燕,代琳,林玲,胡运开,袁朝新

目的:了解急性胰腺炎(AP)时超声观察网膜囊病变的准确性及其临床意义.方法:回顾分析了本院三年中627例AP的超声检查资料,其中100例行110次CT检查,通过与CT比较分析超声诊断网膜囊病变的准确性;与临床资料比较分析AP时网膜囊出现病变的意义.结果:超声诊断网膜囊积液的敏感性、特异性及准确性分别为62.5%、91.5%、87.3%;诊断网膜囊坏死组织则分别为87.5%、97.1%、96.4%.在轻症胰腺炎中,网膜囊积液及坏死组织的出现率为18.1%,1.8%;在重症胰腺炎中,则为58.4%及29.6%.有网膜囊积液组平均住院日为26.9天,而无网膜囊积液组为14.8天.结论:网膜囊是胰周坏死组织最常出现的部位;网膜囊积液与AP的轻重及住院时间长短有关;超声能较准确地诊断网膜囊积液及坏死组织.

2000CHINESE JOURNAL OF ULTRASOUND IN MEDICINE（2000）引用：1

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8CDFI在髂股动脉急性栓塞中的应用

彭玉兰,罗燕,马文敏

本文旨在探讨髂股动脉急性栓塞的CDFI诊断要点.我院近两年收治的髂股动脉急性栓塞4例,入院前均经CDFI检查确诊.其中2例手术证实,2例临床追踪相符.

2000CHINESE JOURNAL OF ULTRASOUND IN MEDICINE（2000）引用：1

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