本文關(guān)鍵詞： 超聲造影 肺吸蟲 肝臟 診斷 鑒別診斷　出處：《中國(guó)超聲醫(yī)學(xué)雜志》2015年03期 　論文類型：期刊論文

【摘要】：目的本文旨在分析肝肺吸蟲病的超聲造影臨床特征,探討超聲造影對(duì)肝肺吸蟲病的診斷及鑒別診斷價(jià)值。方法經(jīng)手術(shù)病理或穿刺活檢證實(shí)的肝肺吸蟲病及肝膿腫、肝內(nèi)膽管細(xì)胞肝癌(ICC)各20例,回顧性總結(jié)分析3組病例的臨床資料、常規(guī)灰階超聲特征及超聲造影增強(qiáng)特點(diǎn)。結(jié)果超聲造影動(dòng)脈期-門脈/延遲期呈高-低增強(qiáng)的比例分別為30%、60%及85%,呈三期低增強(qiáng)的比例分別為20%、15%及5%,門脈/延遲期消退比例分別為50%、75%及90%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);病灶增強(qiáng)范圍:均以部分增強(qiáng)為主,3組間無(wú)明顯差異(P0.05);病灶內(nèi)增強(qiáng)區(qū)特征:肝肺吸蟲病及肝膿腫以均勻環(huán)狀為主(50%、65%),ICC組以不規(guī)則環(huán)狀為主(60%);壞死區(qū)特征:肝肺吸蟲以不規(guī)則竇道樣為主(60%),肝膿腫以篩孔樣為主(60%),上述差異均有統(tǒng)計(jì)學(xué)意義(P0.05);肝肺吸蟲病組壞死區(qū)呈不同程度的不規(guī)則竇道樣改變(60%),較其余2組差異顯著(P0.05)。結(jié)論超聲造影后仔細(xì)觀察病灶內(nèi)壞死區(qū)形態(tài)及病灶周邊增強(qiáng)特征,同時(shí)結(jié)合臨床資料,可明顯提高對(duì)肝肺吸蟲病的診斷及鑒別診斷能力。
[Abstract]:Objective to analyze the clinical features of hepatic paragonimiasis and to explore the value of contrast-enhanced ultrasonography in the diagnosis and differential diagnosis of hepatic paragonimiasis. Methods Hepatic paragonimiasis and liver abscess were proved by pathology or biopsy. 20 cases of intrahepatic cholangiocarcinoma (ICC) were analyzed retrospectively and the clinical data of 3 groups were analyzed retrospectively. Results the proportion of high-low enhancement in arterial phase-portal vein / delayed phase was 30% and 85% respectively. The proportion of low enhancement in phase 3 was 20 15% and 5% respectively. The extinction rates were 50% and 90%, respectively. The difference was statistically significant (P 0.05); the range of focus enhancement: there was no significant difference among the three groups: there was no significant difference among the three groups; the characteristics of the enhancement zone in the focus were as follows: hepatic paragonimiasis and liver abscess were mainly homogenized in 50% and 65% in ICC group. The characteristics of the necrotic zone are as follows: the liver paragonimiasis is irregular sinusoid and the liver abscess is mainly composed of ethmoidal foramen. All the above differences are statistically significant (P 0.05); the necrotic areas in the paragonimiasis group are irregular sinus in different degrees. Compared with the other two groups, there was a significant difference between the two groups (P0.050.Conclusion after contrast-enhanced ultrasonography, the morphology of the necrotic area and the enhancement characteristics around the lesion were observed carefully. Combined with clinical data, the ability of diagnosis and differential diagnosis of hepatic paragonimiasis can be improved obviously.
【作者單位】： 四川大學(xué)華西醫(yī)院超聲科;四川省南充市中心醫(yī)院超聲科;
【基金】：國(guó)家自然科學(xué)基金資助項(xiàng)目(No.81371556;81101060)
【分類號(hào)】：R445.1;R532.2

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本文編號(hào)：1532208