超声造影对肝脏局灶性病变误诊分析

发布时间：2018-05-07 06:58

本文选题：肝肿瘤 + 造影剂　；参考：《中国介入影像与治疗学》2015年07期

【摘要】：目的探讨肝脏局灶性病变的CEUS误诊原因。方法回顾性分析与病理结果不符的40例肝脏病变的CEUS特征,分析其误诊原因。结果 40例CEUS误诊病例中,14例病理诊断为肝细胞性肝癌(HCC),其中4例误诊为局灶性结节增生,3例误诊为血管瘤,4例误诊为肝硬化结节,1例误诊为肝脓肿,2例误诊为良性病变,其中1例肝转移性腺癌,误诊为炎性病灶;1例胆管细胞癌误诊为良性病变。24例病理诊断为良性病灶,其中21例CEUS误诊为恶性肿瘤,3例误诊为其他良性病变。结论加深对肝脏病变病理、组织形态特点的理解,仔细观察CEUS图像特征,紧密结合临床,可提高CEUS对肝脏病变的诊断正确率。
[Abstract]:Objective to investigate the causes of misdiagnosis of CEUS in focal liver lesions. Methods the CEUS features of 40 cases of liver diseases which were not consistent with the pathological results were analyzed retrospectively and the causes of misdiagnosis were analyzed. Results of the 40 misdiagnosed cases, 14 cases were diagnosed as hepatocellular carcinoma, 4 cases were misdiagnosed as focal nodular hyperplasia, 4 cases were misdiagnosed as hepatic cirrhosis, 1 case was misdiagnosed as hepatic abscess, 2 cases were misdiagnosed as benign lesion. One case of metastatic carcinoma of the liver was misdiagnosed as an inflammatory lesion. One case of cholangiocarcinoma was misdiagnosed as benign lesions. 24 cases were diagnosed as benign lesions. 21 cases of CEUS were misdiagnosed as malignant tumors in 3 cases as other benign lesions. Conclusion to deepen the understanding of pathological and histopathological features of liver lesions, to observe the features of CEUS images carefully, and to combine closely with clinical practice, the correct rate of diagnosis of hepatic lesions can be improved by CEUS.
【作者单位】：福建医科大学附属第一医院超声影像科;
【分类号】：R575;R445.1

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