The application of dynamic high-frequency ultrasound in the diagnosis of Zenker diverticulum / 中国医学装备

ABSTRACT

Objective:To explore the diagnostic value of high-frequency ultrasound for Zenker diverticulum.Methods: 15 patients who were suspected as Zenker diverticulum through the diagnosis of using high frequency ultrasound were analyzed in the research. Their appearances of ultrasound were summarized, and these results were compared with barium meal at upper gastrointestinal tract and results of postoperative pathology, respectively.Results: In 15 patients, 4 cases were confirmed by adopting barium meal at upper gastrointestinal tract, and 11 cases were confirmed by adopting postoperative pathology. All of lesions in 15 cases were located on the back of left side of the thyroid gland, and there were 3 kinds of sonographic appearance. The first kind was equal echo lesion, and there were spots and schistoses without echo inside lesion, their form showed a semicircle shape. The second kind was hypoechoic, the form showed irregularity or semi cyclic annular, and the border was clear, and there were strong echogenic spots. The third kind was hyperechoic lesions, and the strong echo were movable with morphological changing after the slight pressure of search unit, and slim half ring low echo wall can be seen indistinctly around lesions.Conclusion:High-frequency ultrasonography is a convenient, rapid and non-invasive method for the diagnosis of Zenker diverticulum, and it is helpful to grasp its ultrasonogram characteristic and examination method in early detection of disease, avoiding misdiagnosis and missed diagnosis. Therefore, it has important clinical value.