口服葡萄糖溶液对CDFI诊断肝血管瘤的价值  

Oral Adminstration of Glucose Solution for Improving CDFI Diagnosis of Liver Hemangioma

作　　者：吴瑶瑶 宋玲[2] 龚明[2] 

机构地区：[1]贵阳市云岩区人民医院超声室,贵阳市550003 [2]贵阳中医学院第一附属医院超声室

出　　处：《中国超声医学杂志》2008年第6期526-528,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨口服葡萄糖溶液后彩色多普勒血流显像超声(CDFI)对肝血管瘤的诊断价值。方法对102例肝血管瘤先施行常规二维超声(B-US)检查,然后口服50%葡萄糖溶液40ml,30min后饮水300 ml,待30min后施行CDFI超声检查,将这2种检查结果分别与手术病理检查结果进行对照,回顾性分析声像表现特征,评价其诊断效果。结果102例肝血管瘤,经手术病理证实,未服药组超声检查,符合率88.2%(90/102),服药组超声检查符合率96.1%(98/102),其中,海绵状血管瘤72例,占70.6%(72/102)、毛细血管瘤26例,占25.5%(26/102),漏误诊4例,占3.9%(4/102)。结论口服50%葡萄糖溶液后,能清晰显示肝血管瘤大小、数目及部位,为临床诊断与鉴别诊断,提供一种操作简便、迅速、无创的检查方法。Objective To investigate if oral administration of glucose solution would improve CDFI display for diagnosis of liver hemangioma. Methods A total of 102 cases with liver hemangioma underwent routine 2-D ultrasonography （2-DUS）, then 40 ml of 50% glucose solution and 300 ml of water after 30 min were taken orally. After that, 2-DUS was repeated. The results of the two methods were compared with the sangical pathology and were retrospectively analysed. Results The coincidence of 2-D usgroup with pathology was 88.2% （90/102）and of 2-DUS ＋glucose group was 96.1% （98/102）. Spongio-hemangioma was in 72 cases （72/102,70. 6 % ）, capillary hemangioma in 26, （26/102, 25. 5%） and missed, misdiagnosis in 4 （4/102, 3. 9%）. Conclusions Oral 50% glucose solution can clearly revealed the sizes, numbers and sites of hemangioma, which may provide a convenient, quick and noninvasive method for clinical diagnosis and differential diagnosis of the disease.

关 键 词：彩色多普勒血流显像 肝血管瘤 50%葡萄糖溶液 

分 类 号：R735.7[医药卫生—肿瘤]