本文關(guān)鍵詞：超聲造影較彩色多普勒超聲在診斷肝實(shí)質(zhì)性腫塊的優(yōu)勢　出處：《基因組學(xué)與應(yīng)用生物學(xué)》2017年10期 　論文類型：期刊論文

  更多相關(guān)文章： 肝實(shí)質(zhì)性腫塊 超聲造影 彩色多普勒超聲

【摘要】：探討超聲造影與彩色多普勒超聲在肝實(shí)質(zhì)性腫塊診斷中的應(yīng)用價(jià)值。對(duì)難以定性的37例共45個(gè)肝實(shí)質(zhì)性腫塊均采用超聲造影與彩色多普勒超聲檢查,并將檢查結(jié)果與手術(shù)病理結(jié)果對(duì)照。結(jié)果顯示:37例病患的45個(gè)肝實(shí)質(zhì)性腫塊中,超聲造影的檢出率為86.67%,較彩色多普勒的檢出率44.44%具有明顯優(yōu)勢。其中超聲造影檢測出原發(fā)性腫瘤有26例,而彩色多普勒超聲僅檢測出13例,漏診較多。而用兩種方法對(duì)肝實(shí)質(zhì)性腫塊進(jìn)行檢測發(fā)現(xiàn),對(duì)30 mm腫塊的準(zhǔn)確率兩種方法都達(dá)到了100%的準(zhǔn)確度,但對(duì)于10~30 mm和10 mm的腫塊,彩色多普勒超聲的準(zhǔn)確率明顯處于弱勢,其對(duì)10~30 mm的腫塊的檢出準(zhǔn)確率僅為76.19%,而超聲造影對(duì)10 mm的腫塊的檢出準(zhǔn)確率都有77.86%,其對(duì)10~30 mm的腫塊檢出準(zhǔn)確率更是高達(dá)90.48%。37例患者均成功進(jìn)行超聲造影檢查,除2個(gè)肝孤立性壞死結(jié)節(jié)外,45個(gè)肝實(shí)質(zhì)性腫塊中43個(gè)病灶均在不同時(shí)相出現(xiàn)不同程度的強(qiáng)化現(xiàn)象,造影劑無退出可能為良性病灶,造影劑早期退出病灶可能為惡性病灶;超聲造影對(duì)肝實(shí)質(zhì)性腫塊的檢出率顯著高于彩色多普勒超聲(p0.05),且對(duì)其大小的檢測準(zhǔn)確率也顯著高于彩色多普勒超聲。與彩色多普勒超聲相比,超聲造影技術(shù)診斷難以定性的肝實(shí)質(zhì)性腫塊的準(zhǔn)確率較高,對(duì)鑒別診斷肝實(shí)質(zhì)性腫塊的良惡性具有重要意義,可為臨床診斷治療提供重要的影像學(xué)依據(jù)。
[Abstract]:To evaluate the value of ultrasonography and color Doppler ultrasound in the diagnosis of hepatic parenchymal masses, all the 37 patients with 45 hepatic parenchymal masses were examined by contrast-enhanced ultrasonography and color Doppler ultrasound. The results showed that in 45 hepatic parenchymal masses in 37 patients, the detectable rate of contrast-enhanced ultrasound was 86.67%. There were 26 cases of primary tumor detected by contrast-enhanced ultrasound and only 13 cases detected by color Doppler ultrasound. There were many missed diagnoses. Two methods were used to detect the hepatic parenchymal mass, and the accuracy rate of 30 mm mass was 100%. However, the accuracy of color Doppler ultrasound was obviously weak for 1030mm and 10mm masses, and the accuracy of detecting 1030mm mass was only 76.19%. The accuracy of ultrasound in detecting 10 mm mass was 77.86%. The accuracy of detection of 1030mm mass was as high as 90.48.37 cases were successfully examined by contrast-enhanced ultrasonography, except 2 solitary necrotic nodules of liver. In 45 hepatic parenchymal masses, 43 lesions showed various enhancement phenomena at different time, contrast media without withdrawal may be benign lesions, contrast media early exiting lesions may be malignant lesions; The detection rate of hepatic parenchyma by contrast-enhanced ultrasonography was significantly higher than that by color Doppler ultrasound (CDFI), and the accuracy of detecting the size of hepatic parenchyma was significantly higher than that of CDFI. The accuracy of contrast-enhanced ultrasonography in the diagnosis of hepatic parenchymal masses is high, which is of great significance in differentiating benign and malignant hepatic parenchymal masses, and can provide an important imaging basis for clinical diagnosis and treatment.
【作者單位】： 商丘醫(yī)學(xué)高等�？茖W(xué)校;商丘市第一人民醫(yī)院超聲科;
【基金】：中央電化教育館精品專題社區(qū)建設(shè)項(xiàng)目“醫(yī)學(xué)影像技術(shù)實(shí)踐社區(qū)”(2015JPZTSQ09)資助
【分類號(hào)】：R445.1;R575;R735.7
【正文快照】： *通訊作者,chen1981@126.comThe Advantages of Contrast-Enhanced Ultrasonography in the Diagnosis ofHepatic Parenchymal Masses Campared with Colour DopplerUltrasonographyChen Yuna 1*Xue Haiying 21 Shangqiu Medical College,Shangqiu,476000;2 Department of Ult

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