超声造影对肝脏局灶性病变的诊断价值  

The diagonstic value of contrast-enhanced ultrasonography for focal liver lesions

作　　者：贾涛[1] 李富武[2] 

机构地区：[1]山东大学附属省立医院超声诊疗科,济南250021 [2]济南市第五人民医院B超室

出　　处：《中华保健医学杂志》2010年第3期169-171,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的探讨超声造影对肝脏局灶性病变的鉴别诊断价值。方法对56例肝脏局灶性病变患者进行超声造影检查,分析其增强特征,并与常规超声检查及病理结果进行对照。结果 56例患者中,超声造影对肝细胞肝癌的诊断符合率(90.9%)明显高于常规超声(63.6%),差异有统计学意义(P<0.05),对肝良性局灶性病变的诊断符合率(79.3%)明显高于常规超声(44.8%),差异有统计学意义(P<0.01)。结论超声造影对肝脏局灶性病变具有较高的诊断价值,值得临床推广。Objective To investigate the diagnostic value of contrast-enhanced ultrasonography（CEUS）for focal liver lesions（FLL）.Methods Fifty-six patients with FLL were examined with CEUS,and its enhanced features were analyzed,moreover,CEUS was compared with routine ultrasound and pathological results.Results Among the 56 cases,there were 22 cases of hepatocellular carcinoma,11 cases of hepatic hemangioma,6 cases of hepatic focal nodular hyperplasia,4 cases of inflammatory pseudotu mor,3 cases of liver adenoma,5 cases of liver metastases and 5 cases of liver abscess.The diagnostic accuracy of CEUS（90.9%）for FLL was significantly higher than that of routine ultrasound（63.6%）（P〈0.05）;compared with routine ultrasound,CEUS had a higher diagnostic accuracy rate for benign FLL（P〈0.01）.Conclusions Contrast-enhanced ultrasonography has higher clinical value in diagnosting focal liver lesions,and is worth promoting.

关 键 词：肝脏局灶性病变 超声造影 诊断 

分 类 号：R575[医药卫生—消化系统]