本文選題：肝腫瘤 + 造影劑��； 參考：《中國介入影像與治療學(xué)》2015年07期

【摘要】：目的探討肝臟局灶性病變的CEUS誤診原因。方法回顧性分析與病理結(jié)果不符的40例肝臟病變的CEUS特征,分析其誤診原因。結(jié)果 40例CEUS誤診病例中,14例病理診斷為肝細(xì)胞性肝癌(HCC),其中4例誤診為局灶性結(jié)節(jié)增生,3例誤診為血管瘤,4例誤診為肝硬化結(jié)節(jié),1例誤診為肝膿腫,2例誤診為良性病變,其中1例肝轉(zhuǎn)移性腺癌,誤診為炎性病灶;1例膽管細(xì)胞癌誤診為良性病變。24例病理診斷為良性病灶,其中21例CEUS誤診為惡性腫瘤,3例誤診為其他良性病變。結(jié)論加深對肝臟病變病理、組織形態(tài)特點的理解,仔細(xì)觀察CEUS圖像特征,緊密結(jié)合臨床,可提高CEUS對肝臟病變的診斷正確率。
[Abstract]:Objective to investigate the causes of misdiagnosis of CEUS in focal liver lesions. Methods the CEUS features of 40 cases of liver diseases which were not consistent with the pathological results were analyzed retrospectively and the causes of misdiagnosis were analyzed. Results of the 40 misdiagnosed cases, 14 cases were diagnosed as hepatocellular carcinoma, 4 cases were misdiagnosed as focal nodular hyperplasia, 4 cases were misdiagnosed as hepatic cirrhosis, 1 case was misdiagnosed as hepatic abscess, 2 cases were misdiagnosed as benign lesion. One case of metastatic carcinoma of the liver was misdiagnosed as an inflammatory lesion. One case of cholangiocarcinoma was misdiagnosed as benign lesions. 24 cases were diagnosed as benign lesions. 21 cases of CEUS were misdiagnosed as malignant tumors in 3 cases as other benign lesions. Conclusion to deepen the understanding of pathological and histopathological features of liver lesions, to observe the features of CEUS images carefully, and to combine closely with clinical practice, the correct rate of diagnosis of hepatic lesions can be improved by CEUS.
【作者單位】： 福建醫(yī)科大學(xué)附屬第一醫(yī)院超聲影像科;
【分類號】：R575;R445.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前2條

1 李春雨;黃麗萍;張宏宇;李紅丹;尹帥;;不同組織病理學(xué)類型肝細(xì)胞癌超聲造影定量血流灌注參數(shù)的差異[J];中國介入影像與治療學(xué);2012年06期

2 馬艷艷;劉穎;張t熥，

本文編號：1855879