超聲造影引導肝穿刺活檢的臨床應用價值
[Abstract]:Objective: To compare the diagnostic value of conventional ultrasound and ultrasound in the diagnosis of liver-solid occupying lesions, and to explore the accuracy and the influencing factors of the guided percutaneous liver biopsy. Methods: From June 2012 to June, 2016, 89 cases and 95 lesions were randomly divided into the normal group and the contrast group, among which 53 lesions and 42 lesions in the normal group were randomly divided into the normal group and the contrast group. The results of the diagnosis and the pathological results of the conventional group and the contrast group were compared, and the effect of the basic condition of the lesion on the results of the puncture was analyzed. Results: The diagnostic accuracy of routine group was 71.6%, and the diagnostic accuracy of contrast group was 90. 5%. The diagnostic sensitivity of the conventional group was 75.6%, the diagnostic sensitivity of the contrast group was 91.2%, and the data sensitivity of the two groups was compared, (? (2 = 3.143, P (29) 0.05, the difference was not statistically significant; the diagnostic specificity of the conventional group was 58.3%, the diagnostic specificity of the contrast group was 87.5%, and the two groups of data were specifically compared, (? () ~ 2 = 5.787, P0.05, the difference was of statistical significance. The accuracy of the puncture in the conventional group was 70.4%, the accuracy of the puncture in the contrast group was 95.2%, and the accuracy of the two groups of data was more accurate (? 2 = 5.691, P0.05, the difference was statistically significant; the sensitivity of the conventional group was 80.5%, the puncture sensitivity of the contrast group was 97.1%, and the data sensitivity of the two groups was compared, (? () ~ 2 = 4.833, P0.05, the difference was of statistical significance; the puncture specificity of the conventional group was 65.7%, the puncture specificity of the contrast group was 87.5%, and the two groups of data were specifically compared, (? () ~ 2 = 1.111, P (29) 0.05, the difference was not statistically significant. The accuracy of the puncture was 31. 25% and 97. 2% in the conventional group with the diameter of 2 cm and the diameter of 2 cm, and the accuracy of the two groups was compared. 2 = 27. 819, P 0.05, the difference was of statistical significance; when the diameter of the lesion was 2 cm, the puncture rate of the contrast group was 90.9%, the accuracy of the conventional group was 31. 25%, and the accuracy of the two groups was compared with that of the two groups (? () ~ 2 = 9.396, P0.05, the difference was of statistical significance. The accuracy of the puncture was 93.1% and 58.3%, respectively, and the accuracy of the two groups was compared in the conventional group. 2 = 9.064, P0.05, the difference was statistically significant; when the boundary of the lesion was not clear, the puncture rate of the contrast group was 94.7%, the accuracy of the conventional group was 58.3%, and the accuracy of the two groups was compared. () ~ 2 = 7.382, P0.05, the difference was of statistical significance. The accuracy of the puncture was 95.2% and 65.6%, respectively, and the accuracy of the two groups was compared in the conventional group. 2 = 6.348, P0.05, the difference was statistically significant; when the internal echo of the lesion was not uniform, the accuracy of the puncture of the contrast group was 90.0%, the accuracy of the conventional group was 65.6%, and the accuracy of the two groups was compared. () ~ 2 = 5.983, P0.05, the difference was of statistical significance. The accuracy of the puncture was 60.7% and 96.0%, respectively, compared with that of the 5cm from the surface of the liver, and the accuracy of the two groups was compared. 2 = 9.389, P0.05, the difference was statistically significant; when the focus distance was 5cm from the surface of the liver, the puncture rate of the contrast group was 94.4%, the accuracy of the conventional group was 60.7%, and the accuracy of the two groups was compared with that of the two groups (? () ~ 2 = 6.465, P0.05, the difference was of statistical significance. The accuracy of the puncture was 55. 0% and 90. 9%, respectively, and the accuracy of the two groups was compared between the two groups. (2 = 9.168, P <0.05). The accuracy of the puncture was 94.4% in contrast group and 52.0% in the conventional group, and the accuracy of the two groups was compared with that of the two groups (? () ~ 2 = 7.602, P0.05, the difference was of statistical significance. Conclusion: The accuracy of ultrasound contrast in the diagnosis of the real occupying lesion of the liver is higher than that of the conventional ultrasound. The accuracy of the ultrasound contrast-guided percutaneous biopsy is higher than that of the conventional method. The accuracy of the biopsy with a diameter of 2 cm was high, the accuracy of the biopsy was high, the accuracy of the biopsy was high, and the accuracy of the puncture biopsy of the inner echo was higher than that of the inner echo. The accuracy of the biopsy with the puncture depth of 5cm was higher than that of the puncture depth of 5cm. Background: The accuracy of the biopsy with liver cirrhosis is higher than that of the patients with liver cirrhosis. When the diameter of the solid occupying lesion was 2cm, the boundary was not clear, the internal echo was not uniform, the depth of the puncture was 5cm, and the accuracy of the ultrasound-guided puncture biopsy was higher than that of the conventional ultrasound in the case of liver parenchyma with liver cirrhosis.
【學位授予單位】:吉林大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:R445.1;R735.7
【相似文獻】
中國期刊全文數(shù)據(jù)庫 前10條
1 俞麗仙;王克云;肖芹芹;;超聲造影方法的再探討[J];生物醫(yī)學工程與臨床;2007年02期
2 張小莉;;超聲造影的意義[J];中國醫(yī)療設備;2008年06期
3 ;“第一屆南方超聲造影新技術臨床應用研討會”征文通知[J];中國臨床醫(yī)學影像雜志;2008年08期
4 ;第十一屆國際超聲造影研討會暨第一屆亞太超聲造影大會將于年底召開[J];中國醫(yī)學影像技術;2009年10期
5 ;第十一屆國際超聲造影研討會暨第一屆亞太超聲造影大會將于年底召開[J];介入放射學雜志;2009年10期
6 ;第十一屆國際超聲造影研討會暨第一屆亞太超聲造影大會將于年底召開[J];癌癥進展;2009年06期
7 ;第十一屆國際超聲造影研討會暨第一屆亞太超聲造影大會將于年底召開[J];中國腫瘤臨床;2009年21期
8 ;第十一屆國際超聲造影研討會取得巨大成功[J];中國醫(yī)學影像技術;2010年02期
9 ;第十一屆國際超聲造影研討會取得巨大成功[J];介入放射學雜志;2010年01期
10 ;第十一屆國際超聲造影研討會取得巨大成功[J];癌癥進展;2010年02期
中國重要會議論文全文數(shù)據(jù)庫 前10條
1 趙彩紅;鄒良英;李智賢;;超聲造影對肝局灶性結節(jié)性增生診斷價值的系統(tǒng)評價[A];中國超聲醫(yī)學工程學會第八屆全國腹部超聲學術會議論文匯編[C];2010年
2 馬穗紅;柳建華;馬曉梅;羅環(huán)千;李芙蓉;胡志文;;胃窗超聲造影在先天性肥厚性幽門狹窄的應用價值[A];中國超聲醫(yī)學工程學會第八屆全國腹部超聲學術會議論文匯編[C];2010年
3 洪玉蓉;劉學明;;超聲造影在淺表淋巴結疾病中的應用[A];2007年超聲造影新技術論壇論文匯編[C];2007年
4 馬蘇亞;謝曉紅;;胃超聲造影檢查[A];2007年超聲造影新技術論壇論文匯編[C];2007年
5 馬蘇亞;謝曉紅;;胃超聲造影檢查[A];2007年浙江省超聲醫(yī)學學術年會論文匯編[C];2007年
6 陳靜婉;樊靜;蔣曉春;姜靜華;;超聲造影在診斷肝臟局灶性結節(jié)性增生中的應用[A];2012年浙江省超聲醫(yī)學學術年會論文集[C];2012年
7 楊博;宋麗英;劉麗;趙紅梅;趙軍波;于慧平;賈欣為;;超聲造影在超聲消融治療子宮肌瘤中的應用[A];中華醫(yī)學會第十三次全國超聲醫(yī)學學術會議論文匯編[C];2013年
8 朱家安;蔣業(yè)清;胡一宙;邢春燕;李殿成;胡兵;;超聲造影在檢測類風濕性指關節(jié)炎[A];中國超聲醫(yī)學工程學會肌肉骨骼系統(tǒng)超聲專業(yè)委員會第二次全國學術會議論文匯編[C];2009年
9 郭瑞君;梁曉寧;曹文;盧瑞剛;;超聲造影在軟組織的初步應用[A];中國超聲醫(yī)學工程學會肌肉骨骼系統(tǒng)超聲專業(yè)委員會第二次全國學術會議論文匯編[C];2009年
10 羅慧;石秋玲;吳瑛;徐金鋒;焦陽;姜燕;羅奕倫;馮曉鳳;;淋巴結超聲造影的初步研究[A];中國超聲醫(yī)學工程學會第二次全國淺表器官及外周血管超聲醫(yī)學學術會議論文匯編[C];2009年
中國重要報紙全文數(shù)據(jù)庫 前9條
1 李運紅邋趙迎;疑難肝腎腫瘤難逃超聲造影“法眼”[N];科技日報;2007年
2 本報記者 胡珉琦;超聲造影防誤診[N];北京科技報;2010年
3 超聲診斷科 羅渝昆;肝脾破裂 超聲造影快速診治[N];健康報;2011年
4 周翔;超聲造影:診斷腫瘤的新尖兵[N];家庭醫(yī)生報;2007年
5 孫秦;上海:超聲造影確診肝癌效優(yōu)[N];醫(yī)藥經(jīng)濟報;2005年
6 張中橋;超聲造影評價腫瘤新生血管的新手段[N];醫(yī)藥經(jīng)濟報;2007年
7 張中橋;可用超聲造影評價HIFU治療子宮肌瘤療效[N];中國醫(yī)藥報;2007年
8 張中橋;超聲造影評價HIFU治療子宮肌瘤療效[N];醫(yī)藥經(jīng)濟報;2007年
9 毓星;超聲造影 不孕婦女的福音[N];中國人口報;2003年
中國博士學位論文全文數(shù)據(jù)庫 前10條
1 劉健;超聲造影對乳腺實體腫瘤的診斷效能評價[D];第三軍醫(yī)大學;2015年
2 袁孟霞;肝內膽管細胞癌超聲造影模式的影響因素及其與預后的相關性研究[D];第三軍醫(yī)大學;2015年
3 崔巖;超聲造影在乳腺癌診斷及療效評估中的應用研究[D];南方醫(yī)科大學;2016年
4 費騰;甲狀腺癌超聲造影診斷研究[D];上海交通大學;2015年
5 黃備建;超聲造影在腎占位血流動力學中的基礎和臨床研究[D];復旦大學;2010年
6 李超倫;超聲造影評價動脈粥樣硬化斑塊新生血管形成的實驗與臨床研究[D];復旦大學;2011年
7 曹小麗;超聲造影在乳腺癌診斷及療效評估中的應用研究[D];山東大學;2012年
8 田江克;超聲造影引導遲發(fā)性脾破裂的診治實驗研究[D];中國人民解放軍軍醫(yī)進修學院;2012年
9 董怡;超聲造影定量分析技術評價腎功能狀態(tài)的實驗和臨床研究[D];復旦大學;2008年
10 張惠琴;超聲造影在肝外傷診斷及局部注射治療中的應用研究[D];中國人民解放軍軍醫(yī)進修學院;2008年
中國碩士學位論文全文數(shù)據(jù)庫 前10條
1 陳娜燕;超聲造影對不同回聲類型頸動脈斑塊內新生血管的分析[D];福建醫(yī)科大學;2015年
2 許莉華;超聲造影聯(lián)合彈性成像對肝癌射頻消融療效評估的應用價值研究[D];浙江中醫(yī)藥大學;2015年
3 楊璐;超聲造影對頸動脈斑塊的評價及與不同類型冠心病的相關性研究[D];寧夏醫(yī)科大學;2015年
4 李昕;超聲造影對腎臟良、惡性病變鑒別診斷價值[D];青海大學;2015年
5 郭慶霞;超聲造影參數(shù)對食管癌頸部淋巴結轉移行放療后療效評估的早期預測作用[D];山東大學;2015年
6 陳雪雪;超聲造影及聲輻射力脈沖成像技術對甲狀腺結節(jié)的診斷價值[D];廣西醫(yī)科大學;2015年
7 張曉英;超聲造影對高強度聚焦超聲治療較大肝癌療效評價的研究[D];河南中醫(yī)學院;2015年
8 包蔚郁;~(99m)Tc-PHY聯(lián)合超聲造影在早期乳腺癌SLNB中的臨床研究[D];甘肅中醫(yī)藥大學(原名:甘肅中醫(yī)學院);2015年
9 楊勇;多模態(tài)影像技術在早期乳腺癌診斷中的對比研究[D];第四軍醫(yī)大學;2015年
10 陳園園;彩超與超聲造影在糖尿病腎病診斷中的對比研究[D];四川醫(yī)科大學;2015年
,本文編號:2371298
本文鏈接:http://sikaile.net/yixuelunwen/zlx/2371298.html