超声造影在肝脓肿定性诊断中的价值  

Diagnostic Value of Contrast-Enhanced Ultrasonography for Hepatic Abscesses

作　　者：芦爱霞[1] 谢玉环[1] 邝永培[1] 林庆陕[1] 马利亚[1] 

机构地区：[1]广东省东莞市人民医院,广东东莞523059

出　　处：《临床医学工程》2012年第8期1331-1332,共2页Clinical Medicine & Engineering

摘　　要：目的探讨超声造影在肝脓肿的定性诊断中的价值。方法经病理及临床确诊的肝脓肿患者12个病灶;均经常规超声及超声造影检查。结果 12个病灶超声造影动脉相均有增强,9个病灶呈蜂窝状强化和厚壁环状强化;3个病灶虽呈周边一过性增强;常规超声诊断为肝脓肿9个,3个病灶不能确定性质;超声造影后12例病灶中11个诊断正确,1个病灶误诊为恶性可能。结论超声造影能提高超声诊断肝脓肿的准确性。Objective To investigate the characteristics of contrast-enhanced ultrasonography in the diagnosis of hepatic abscess. Methods 12 hepatic abscesses confirmed by pathology and clinical manifestation were examined using conventional ultrasound and contrast-enhanced ultrasound. Results The contrast-enhanced ultrasound showed enhancement in the artery phase in abscesses,including 9 abscesses for honeycomb-like enhancement and peripheral wall thickening enhancement; 3 abscesses were peripheral enhancement instantly. We diagnozed 9 hepatic abscess lesions by conventional ultrasound, 3 lesions cannot determine nature; and diagnosis 11 hepatic abscess lesions by contrast-enhanced ultrasound, one misdiagnosed malignant lesion. Conclusions Contrast-enhanced ultrasound is valuable in the diagnosis of hepatic abscesses.

关 键 词：肝脓肿 超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.4[医药卫生—诊断学]