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机构地区:[1]井冈山大学附属医院B超室,江西吉安343000 [2]吉安市中心人民医院普外科,江西吉安343000 [3]峡江县人民医院普外科,江西吉安331400
出 处:《长江大学学报(自然科学版)》2017年第20期41-43,共3页Journal of Yangtze University(Natural Science Edition)
基 金:2017年江西省卫生计生委科技计划课题(20175398)
摘 要:目的:探讨彩色多普勒超声检查联合超声造影应用于细菌性肝脓肿诊断中的临床价值。方法:选取医院收治的细菌性肝脓肿患者52例,均行彩色多普勒超声检查联合超声造影以及增强CT检查,并将两种方法的检查结果进行比较。结果:超声联合超声造影检查准确率为98.08%,增强CT检查准确率为96.15%,两者比较差异无统计学意义(χ~2=0.34,P>0.05);超声联合超声造影检测脓肿最大直径为(7.1±0.8)cm,增强CT检测脓肿最大直径为(7.6±1.7)cm,两者比较差异具有统计学意义(T=2.0,P<0.05)。结论:超声联合超声造影检查与增强CT在诊断细菌性脓肿方面临床价值相似,但是超声联合超声造影检查操作实用性以及便利性优于增强CT,且超声检查在实时引导细菌性肝脓肿的临床治疗上,更适合在临床推广应用。Objective:To study the value of color Doppler ultrasonography combined with contrast enhanced ultrasound and enhanced CT in the diagnosis of liver abscess.Methods:52 cases of patients with bacterial liver abscess treated in our hospital were selected,all patients were examined by color Doppler ultrasonography combined with contrast-enhanced ultrasonography,and enhanced CT.The results of the two methods were compared.Results:The accuracy rate of ultrasound combined with contrast enhanced ultrasound was 98.08%,the accuracy rate of enhanced CT was 96.15%,there was no significantly difference(χ2=0.34,P>0.05);The maximum diameter of the abscess was(7.1 ±0.8)cm detected by ultrasound combined with contrast enhanced ultrasound,(7.6±1.7)cm detected by enhanced CT,and the difference between the two groups was significant(t=2.0,P<0.05).Conclusions:The clinical value of ultrasound combined with contrast enhanced ultrasound in the diagnosis of liver abscess is similar to that of enhanced CT,but the value of ultrasound combined with contrast-enhanced ultrasonography in the diagnosis of liver abscess is higher than that of enhanced CT,which is worthy of clinical promotion.
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