超声造影较彩色多普勒超声在诊断肝实质性肿块的优势

发布时间：2018-01-15 02:13

本文关键词：超声造影较彩色多普勒超声在诊断肝实质性肿块的优势　出处：《基因组学与应用生物学》2017年10期 　论文类型：期刊论文

【摘要】：探讨超声造影与彩色多普勒超声在肝实质性肿块诊断中的应用价值。对难以定性的37例共45个肝实质性肿块均采用超声造影与彩色多普勒超声检查,并将检查结果与手术病理结果对照。结果显示:37例病患的45个肝实质性肿块中,超声造影的检出率为86.67%,较彩色多普勒的检出率44.44%具有明显优势。其中超声造影检测出原发性肿瘤有26例,而彩色多普勒超声仅检测出13例,漏诊较多。而用两种方法对肝实质性肿块进行检测发现,对30 mm肿块的准确率两种方法都达到了100%的准确度,但对于10~30 mm和10 mm的肿块,彩色多普勒超声的准确率明显处于弱势,其对10~30 mm的肿块的检出准确率仅为76.19%,而超声造影对10 mm的肿块的检出准确率都有77.86%,其对10~30 mm的肿块检出准确率更是高达90.48%。37例患者均成功进行超声造影检查,除2个肝孤立性坏死结节外,45个肝实质性肿块中43个病灶均在不同时相出现不同程度的强化现象,造影剂无退出可能为良性病灶,造影剂早期退出病灶可能为恶性病灶;超声造影对肝实质性肿块的检出率显著高于彩色多普勒超声(p0.05),且对其大小的检测准确率也显著高于彩色多普勒超声。与彩色多普勒超声相比,超声造影技术诊断难以定性的肝实质性肿块的准确率较高,对鉴别诊断肝实质性肿块的良恶性具有重要意义,可为临床诊断治疗提供重要的影像学依据。
[Abstract]:To evaluate the value of ultrasonography and color Doppler ultrasound in the diagnosis of hepatic parenchymal masses, all the 37 patients with 45 hepatic parenchymal masses were examined by contrast-enhanced ultrasonography and color Doppler ultrasound. The results showed that in 45 hepatic parenchymal masses in 37 patients, the detectable rate of contrast-enhanced ultrasound was 86.67%. There were 26 cases of primary tumor detected by contrast-enhanced ultrasound and only 13 cases detected by color Doppler ultrasound. There were many missed diagnoses. Two methods were used to detect the hepatic parenchymal mass, and the accuracy rate of 30 mm mass was 100%. However, the accuracy of color Doppler ultrasound was obviously weak for 1030mm and 10mm masses, and the accuracy of detecting 1030mm mass was only 76.19%. The accuracy of ultrasound in detecting 10 mm mass was 77.86%. The accuracy of detection of 1030mm mass was as high as 90.48.37 cases were successfully examined by contrast-enhanced ultrasonography, except 2 solitary necrotic nodules of liver. In 45 hepatic parenchymal masses, 43 lesions showed various enhancement phenomena at different time, contrast media without withdrawal may be benign lesions, contrast media early exiting lesions may be malignant lesions; The detection rate of hepatic parenchyma by contrast-enhanced ultrasonography was significantly higher than that by color Doppler ultrasound (CDFI), and the accuracy of detecting the size of hepatic parenchyma was significantly higher than that of CDFI. The accuracy of contrast-enhanced ultrasonography in the diagnosis of hepatic parenchymal masses is high, which is of great significance in differentiating benign and malignant hepatic parenchymal masses, and can provide an important imaging basis for clinical diagnosis and treatment.
【作者单位】：商丘医学高等专科学校;商丘市第一人民医院超声科;
【基金】：中央电化教育馆精品专题社区建设项目“医学影像技术实践社区”(2015JPZTSQ09)资助
【分类号】：R445.1;R575;R735.7
【正文快照】： *通讯作者,chen1981@126.comThe Advantages of Contrast-Enhanced Ultrasonography in the Diagnosis ofHepatic Parenchymal Masses Campared with Colour DopplerUltrasonographyChen Yuna 1*Xue Haiying 21 Shangqiu Medical College,Shangqiu,476000;2 Department of Ult

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