伴有钙化的肝占位性病变的超声诊断分析  

Ultrasound diagnostic analyses of liver lesion with calcification

作　　者：蒋天安[1] 赵君康[1] 黄志良[1] 陈芬[1] 

机构地区：[1]浙江医科大学附属第一医院超声诊断科,杭州310003

出　　处：《中华超声影像学杂志》2000年第4期210-212,共3页Chinese Journal of Ultrasonography

摘　　要：目的　探讨肝占位内钙化灶的出现对肝占位诊断和鉴别诊断的临床意义。方法　应用二维超声常规扫查肝脏 ,发现肝占位性病变时特别注意肝占位内有无钙化灶及其分布 ,并和CT及X线显示结果比较。结果　①超声和CT对肝占位内钙化灶的显示率极高 ,分别为 10 0 %和 96% ,二者比较无显著性差异(P >0 .0 5 ) ,但优于X线显示率 47% (P <0 .0 1)。②良恶性病变均可出现钙化灶 ,恶性病变中以转移性肝癌多见。结论　肝占位内钙化灶可出现于多种病变 ,对诊断和鉴别诊断有一定帮助 ,但有时使超声图像复杂化 ,在诊断时应加注意。Objective To investigate the clinical value of the appearing of calcification in liver lesion in diagnosis and differentiation of liver lesion.Methods The whole liver was scaned by two dimensional ultrasonography and compared with those showed by CT and X ray.The calcification and its distribution should especially be paid attention when liver lesions were found.Results ①Similar displaying rate of calcification was showed in liver lesion by ultrasound (100%) and CT (96%) ,which were higher significantly than that by X ray (47%,P< 0.01 ).②Less calcifications could be found in benign or malignant lesion than in metastatic liver cancer.Conclusions Calcification can appear in various liver lesions,which is helpful to diagnosing or differentiating ,but sometimes it may complicate the ultrasound images.

关 键 词：超声检查 肝疾病 钙质沉着症 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]