超声造影与增强CT在胆囊疾病诊断中的对比分析  

Comparison of contrast-enhanced ultrasound and contrast-enhanced helical CT of gallbladder diseases

作　　者：朱铖[1] 周海伟[2] 王红梅 郑笑娟[1] 王昊[1] 

机构地区：[1]浙江省舟山医院总部超声诊断中心,浙江舟山316000 [2]浙江省舟山医院总部放射诊断中心,浙江舟山316000 [3]福建省厦门第二医院超声科,福建厦门361000

出　　处：《医学影像学杂志》2011年第1期65-68,共4页Journal of Medical Imaging

摘　　要：目的:比较超声造影(contrast-enhanced ultrasound,CEUS)和CT增强(contrast-enhanced helicalcomputedtomography,CECT)检查在胆囊占位性病变诊断中血流灌注过程中的的特点,探讨其在胆囊占位性病变诊断中的价值。方法:对比分析78例胆囊占位性病变的超声造影和增强CT在不同时相的增强及灌注特征。结果:超声造影和增强CT具有相似的表现。但对于小于5 mm的病变,超声造影的检出率高于增强CT,78例胆囊占位性病变中,胆囊癌35例,胆囊息肉29例,局限性胆囊腺肌增生症14例,增强CT准确率分别为84.35%,89.63%和80.13%,超声造影准确率分别为83.12%,93.79%和79.72%。结论:增强CT和超声造影检查均有助于胆囊疾病诊断,两者结合可提高胆囊疾病的诊断符合率。Objective：To compare the perfusion feature of gallbladder diseases with of contrast-enhanced ultrasound（CEUS） and contrast-enhanced helical computed tomography（CECT） and evaluate the value diagnosis of them.Methods：CEUS and contrast-enhanced helical CT findings were comparatively analyzed in 78 cases with gallblandder diseases verified by operation and pathology.Results：Ultrasonography and enhanced CT has a similar performance.But for less than 5 mm lesion,the detection rate of ultrasound higher than contrast enhancement CT,78 cases of gallbladder mass lesions,gallbladder cancer 35 cases,29 cases of gallbladder polyps,gallbladder adenomyomatosis 14 cases,ultrasound accuracy was 83.12%,93.79% and 79.72%,respectively,enhance the accuracy of CT 84.35%,89.63% and 8.13%.Conclusion：Ultrasonography and CT examination will help enhance the diagnosis of gallbladder disease,combining the two can improve the diagnosis.

关 键 词：胆囊疾病 胆囊肿瘤 超声造影 体层摄影术 X线计算机 

分 类 号：R735.8[医药卫生—肿瘤] R445.1[医药卫生—临床医学]