目的:總結(jié)肝孤立性壞死結(jié)節(jié)（solitarynecroticnodule,SNN）的超聲造影表現(xiàn),分析誤診原因,提高超聲造影對(duì)該病的認(rèn)識(shí)。方法:回顧性分析以超聲造影或病理診斷為SNN的68名患者的超聲造影表現(xiàn)及臨床資料,評(píng)估超聲造影對(duì)SNN的診斷效能,對(duì)誤診原因進(jìn)行分析。結(jié)果:在68例患者中,66例經(jīng)病理或隨訪證實(shí)為SNN,2例病理證實(shí)為肝癌;超聲造影正確診斷SNN65例,誤診為SNN2例,誤診為轉(zhuǎn)移癌1例,超聲造影診斷符合率為95.59%（65/68）。SN N的典型超聲造影表現(xiàn)為病灶整體三相無增強(qiáng),伴或不伴有周邊薄環(huán)狀、內(nèi)部纖細(xì)分隔樣增強(qiáng),門脈相及延遲相增強(qiáng)部分無消退。結(jié)論:SNN的超聲造影有典型表現(xiàn),具有較高的診斷效能,值得推廣使用。 

【文章來源】：臨床與病理雜志. 2020,40(10)

【文章頁(yè)數(shù)】：7 頁(yè)

【部分圖文】：

36歲女性患者超聲及超聲造影表現(xiàn)

24歲女性患者超聲及超聲造影表現(xiàn)

【參考文獻(xiàn)】：
期刊論文
[1]超聲造影在單發(fā)轉(zhuǎn)移性肝癌與肝臟孤立性壞死結(jié)節(jié)鑒別診斷中的價(jià)值[J]. 李晶,唐少珊,于宏偉.  臨床肝膽病雜志. 2016(07)
[2]超聲造影對(duì)肝內(nèi)孤立性壞死性結(jié)節(jié)血流動(dòng)力學(xué)的診斷分析[J]. 邢虎,王丹青,薛玉,張歆,陳寶定,吳新財(cái),趙峰,杜睿.  現(xiàn)代醫(yī)藥衛(wèi)生. 2014(19)
[3]實(shí)時(shí)超聲造影鑒別診斷肝臟瘤樣病變[J]. 黃麗萍,王嘉俊,李紅丹,劉守君,任衛(wèi)東.  中國(guó)醫(yī)學(xué)影像技術(shù). 2012(02)
[4]肝臟孤立性壞死結(jié)節(jié)的超聲造影表現(xiàn)[J]. 倪曉霞,周環(huán)宇,魏向東,梁會(huì)澤.  中華醫(yī)學(xué)超聲雜志(電子版). 2011(07)
[5]Contrast-enhanced ultrasound in diagnosis and characterization of focal hepatic lesions[J]. Inés Gómez Molins,Juan Manuel Fernández Font,Juan Carrero álvaro,Jose Luís Lledó Navarro,Marta Fernández Gil,Conrado M Fernández Rodríguez.  World Journal of Radiology. 2010(12)
[6]Clinical features of solitary necrotic nodule of the liver[J]. Department of Hepato-Biliary-Pancreato-Vascular Surgery,First Xiamen Hospital,Fujian Medical University,Xiamen 361003,China(Yan-MingZhou and Bin Li);Department of Special Treatment (Feng Xu,Dian-Qi Li,Peng Liu and Jia-Mei Yang),and Department of Pathology(Bin Wang),Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai 200438,China.  Hepatobiliary & Pancreatic Diseases International. 2008(05)
[7]肝孤立性壞死結(jié)節(jié)超聲表現(xiàn)[J]. 韓秀婕,孫長(zhǎng)昆,李春梅.  中國(guó)醫(yī)學(xué)影像技術(shù). 2003(09)



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