肝脏特异性感染的超声诊断评价

发布时间：2018-02-04 02:11

本文关键词： 超声肝脏特异性感染诊断价值　出处：《中华医院感染学杂志》2015年24期 　论文类型：期刊论文

【摘要】：目的探讨超声对肝脏特异性感染的诊断价值,以辅助临床治疗。方法随机选取2013年5月-2014年5月收治的20例肝脏特异性感染患者,应用彩超、二维超声检查,部分加用超声造影检查和病理结果进行对照,数据采用SPSS 17.0软件进行统计分析。结果彩超及常规二维超声结果,肝脏真菌感染8例患者、肝脏结核感染9例、肝脏梅毒感染3例,分别占38.10%、42.86%、14.29%;12例患者行超声造影检查,造影剂注入之后,动脉相、门静脉相、延迟相结节均无增强发生,表现为"充填缺损",仅3例肝脏真菌感染,观察结节周边,有扫描增强,20例患者,在超声引导下活检,均取材成功,其中超声引导下穿刺活检证实15例,肝脏结核感染9例、肝脏真菌感染6例。结论肝脏特异性感染采用二维超声和彩超诊断具有一定价值,超声引导下穿刺活检,可对大部分肝脏特异性感染病变检查,并做出明确诊断。
[Abstract]:Objective to evaluate the diagnostic value of ultrasound in the diagnosis of liver-specific infection. Methods Twenty patients with liver-specific infection from May 2013 to May 2014 were randomly selected and applied color Doppler ultrasound. Two-dimensional ultrasound examination, part of the contrast-enhanced ultrasound and pathological results were compared, the data were analyzed by SPSS 17.0 software. Results the results of color ultrasound and conventional two-dimensional ultrasound. There were 8 cases of hepatic fungal infection, 9 cases of hepatic tuberculosis infection and 3 cases of hepatic syphilis infection, which accounted for 38.10% and 14.29% respectively. After contrast media injection, no enhancement occurred in arterial phase, portal vein phase and delayed phase nodule, showing as "filling defect". Only 3 cases of hepatic fungal infection were observed. In 20 patients with enhanced scanning biopsy, all the specimens were obtained successfully under the guidance of ultrasound. Among them, 15 cases were confirmed by ultrasound guided biopsy, and 9 cases were infected with liver tuberculosis. Conclusion the diagnosis of liver specific infection by two-dimensional ultrasound and color Doppler ultrasound has certain value. Ultrasound guided puncture biopsy can be used to detect most liver specific infection lesions. And make a definite diagnosis.
【作者单位】：桐乡市第二人民医院超声科;
【基金】：浙江省科技基金资助项目(201403160)
【分类号】：R575;R445.1
【正文快照】： 肝脏特异性感染在临床有一定的病发率,近年来,随着器官移植等治疗的开展,肿瘤化学药物应用的增多,其发生率逐年上升,因与一般性感染在鉴别时有一定难度,有较高误诊概率,使治疗延误,如何明确诊断,是临床研究的重点[1]。特异性感染多为特异性致病菌引起感染,由于临床对其认识不

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