文章摘要
周成香 刘亚斌 黄杨 朱小虎 袁媛.超声造影在肝硬化合并肝内局灶性小病灶中的诊断价值[J].,2016,16(1):138-140
超声造影在肝硬化合并肝内局灶性小病灶中的诊断价值
Diagnostic Value of Contrast Enhanced Ultrasound in Cirrhosis Complicatedwith Hepatic Focal Lesions
  
DOI:
中文关键词: 超声造影  肝硬化合并肝内局灶性小病灶  准确性  诊断价值
英文关键词: Contrast enhanced ultrasound  Cirrhosis complicated with hepatic focal lesions  Accuracy  Diagnostic value
基金项目:四川省卫生厅资助项目(110462)
作者单位
周成香 刘亚斌 黄杨 朱小虎 袁媛 成都医学院第一附属医院超声科成都医学院第一附属医院放射科成都医学院第一附属医院感染科 
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中文摘要:
      目的:探讨超声造影(CEUS)在肝硬化合并肝内局灶性小病灶(≤ 3.0 cm)中的诊断价值。方法:选择我院自2010 年4 月至 2014 年8月患有肝硬化合并肝内局灶性小病灶的患者100 例,采用MRI、CT 及病理确定病灶良恶性,同时对比影像结果,计算常 规超声和CEUS 的准确性。结果:MRI、CT 及病理确定病灶105 个,其中恶性组45 例,良性组60 例,超声造影技术能清晰的显示 出血流灌注的情况以及动脉相、门脉相及延迟相的特点。数据统计结果显示常规超声和CEUS 的准确性、特异性和敏感性分别为 59.05%、77.78%、45.00%和95.24%、95.56%、95.00%,两者之间的差异具有统计学意义(P<0.05)。结论:相对于常规超声,CEUS 对 患有肝硬化合并肝内局灶性小病灶的患者具有更高的诊断价值。
英文摘要:
      Objective:To explore the diagnosis value of contrast enhanced ultrasound (CEUS) in cirrhosis complicated with hepatic focal lesions(≤ 3.0cm).Methods:A total of 100 patients with cirrhosis complicated with hepatic focal lesions, who were admitted to First Affiliated Hospital of Chengdu Medical College from April 2010 to August 2014, were selected and the benign or malignant lesions were diagnosed by MRI, CT and pathology. The imaging results were compared, and the accuracy of conventional ultrasound and CEUS were calculated.Results:There were 105 lesions identified by MRI, CT and pathological, among which, there were 45 malignant lesions in malignant group and 60 benign lesions in benign group. CEUS clearly showed the blood perfusion status and the characteristics of arterial phase, portal phase and delayed phase. Statistical results showed that the accuracy, specificity and sensitivity of conventional ultrasound and CEUS were 59.05%, 77.78%, 45.00% and 56.19%, 95.56%, 95.00% respectively, the differences were statistically significant(P<0. 05).Conclusion:CEUS has a higher value in diagnosing cirrhosis complicated with hepatic focal lesions compared with conventional ultrasound.
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