三维与二维超声造影在胰腺癌与肿块型胰腺炎的诊断价值

发布时间：2018-04-12 23:07

本文选题：胰腺癌 + 肿块型胰腺炎　；参考：《中国超声医学杂志》2017年05期

【摘要】：目的探讨三维与二维超声造影在胰腺癌及肿块型胰腺炎的诊断价值。方法对32例胰腺癌、28例肿块型胰腺炎行二、三维超声造影检查,对比观察分析60例胰腺肿块的动脉期增强方式、不同时相的立体感及清晰度、血管清晰度及空间关系等的差异,比较两种方法诊断胰腺癌及肿块型胰腺炎的价值。结果 (1)2D、3D-CEUS诊断胰腺癌及肿块型胰腺炎灵敏度SEN=75.00%、87.50%,特异度SPE=71.43%、78.57%,准确度ACC=73.33%、83.33%,阳性预测值+PV=75.00%、82.35%,阴性预测值-PV=71.43%、84.61%。(2)3DCEUS对胰腺肿块的占位立体感及清晰度、血管清晰度及空间关系显示较2D-CEUS具有优势。结论 3D-CEUS较2D-CEUS诊断胰腺癌及肿块型胰腺炎灵敏度、特异度以及准确度较高,3D-CEUS可显示病灶整体的立体影像,结构层次和血管空间分布,较2D-CEUS更形象逼真、完整直观,补充了更多的诊断信息,二者联合更可提高胰腺癌与肿块型胰腺炎的鉴别诊断。
[Abstract]:Objective to evaluate the diagnostic value of three-dimensional and two-dimensional contrast-enhanced ultrasonography in pancreatic cancer and mass pancreatitis.Methods 32 cases of pancreatic carcinoma and 28 cases of mass pancreatitis were examined by two dimensional and three dimensional contrast-enhanced ultrasonography. The contrast analysis of arterial phase enhancement, stereosensory and clarity, vascular clarity and spatial relationship were made in 60 cases of pancreatic mass.To compare the value of the two methods in the diagnosis of pancreatic cancer and mass pancreatitis.Conclusion 3D-CEUS is more sensitive, specific and accurate than 2D-CEUS in the diagnosis of pancreatic cancer and mass pancreatitis. 3D-CEUs can show the stereoscopic image, structure level and vascular spatial distribution of the lesion, and is more vivid, complete and intuitive than 2D-CEUS.In addition to more diagnostic information, the combination of the two can improve the differential diagnosis of pancreatic cancer and mass pancreatitis.
【作者单位】：新疆医科大学第一附属医院腹部超声诊断科;新疆医科大学第一附属医院胰腺外科;
【基金】：新疆维吾尔自治区自然科学基金(No.2015211070)
【分类号】：R445.1;R576;R735.9

【相似文献】