本文選題：超聲檢查 + 造影劑　； 參考：《長春中醫(yī)藥大學》2014年碩士論文

【摘要】：目的：通過超聲造影分析非均勻脂肪肝內脂肪缺失處病灶的血流灌注特征，進一步探討超聲造影對脂肪缺失性非均勻脂肪肝臨床應用價值。 方法:2012年3月～2014年3月選取在我院門診或住院就診時常規(guī)超聲檢查提示肝臟局部脂肪缺失的患者，并常規(guī)超聲不能確定其有無占位性病變，給予超聲造影檢查。 結果：30例患者共45個脂肪缺失處，17脂肪缺失處位于肝右前葉近肝表面處，2處脂肪缺失處位于肝右后葉，2處脂肪缺失位于左外葉下段肝臟邊緣處，其余24處脂肪缺失均位于膽囊窩處及門靜脈供血附近，根據(jù)穿刺活檢病理證實，45例脂肪缺失經(jīng)超聲造影造影診斷3例為轉移癌，，2例原發(fā)性肝癌，2例膽管細胞性肝癌，2例局灶結節(jié)增生，11例肝血管瘤，15個單純脂肪缺失。常規(guī)超聲在45個脂肪肝內脂肪缺失處病灶正確診斷病灶類型25個（55.6%），超聲造影后正確診斷病灶類型42個（93.3%）。腫瘤周圍脂肪缺失區(qū)的形成可能與病灶對肝實質的壓迫以及該腫瘤有豐富動脈供血引起前方區(qū)域的門靜脈血流相對減少有關。 結論：超聲造影能夠反映脂肪缺失性非均勻脂肪肝內血流灌注特征，提高了超聲對脂肪缺失區(qū)定性診斷能力，當不能確定為脂肪缺失處低回聲內是否有腫瘤時，,為避免延誤治療須盡早定性,及時進行超聲造影檢查。
[Abstract]:Objective : To investigate the clinical value of ultrasound contrast imaging in the clinical application of fat loss non - uniform fatty liver by ultrasound contrast analysis .

Methods : In March 2012 ~ March 2014 , the patients with local fat loss in the liver were indicated by routine ultrasound examination at the outpatient or in - hospital visit of our hospital , and the conventional ultrasound was unable to determine the presence or absence of occupying lesions , and the ultrasound contrast examination was given .

Results : There were 45 fat deletions in 30 patients , 17 fat deletions at the proximal hepatic surface of the right anterior lobe of the liver , 2 fat loss in the right posterior lobe of the liver , 2 cases of primary liver cancer , 2 bile duct cell liver cancer , 2 focal nodular hyperplasia , 11 cases of hepatic hemangioma , and 15 simple fat loss .

Conclusion : Contrast - enhanced ultrasonography can reflect the characteristics of blood perfusion in fat - deficient non - uniform fatty liver , and improve the qualitative diagnosis ability of fat loss region . When it is not possible to determine whether there is tumor in low echo of fat loss , the ultrasonic contrast examination should be performed as soon as possible in order to avoid delay treatment .

【學位授予單位】：長春中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R445.1;R575.5

【參考文獻】

相關期刊論文 前1條

1 劉利平;康春松;董寶瑋;于曉玲;;超聲造影發(fā)現(xiàn)脂肪肝內腫瘤周圍的相對正常肝區(qū)[J];山西醫(yī)科大學學報;2010年12期

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