超声造影在肝内局灶性病变的诊断价值  

The value of contrast-enhanced ultrasound in the diagnosis of intrahepatic focal lesions

作　　者：王豪[1] 宋嫣[1] 邓雅琴[2] 甘丽虹 WANG Ha;SONG Yon;DENG Ya-qin;Gan Li-Hong(Department of Ultrasound,the Third Affiliated Hospital of Nanehang University,Jiangxi Province,Nanehang 330008,China;Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Nanehang University,Jiangxi Province,Nanehang 330008,China;Department of Digestive,the Third Affiliated Hospital of Nanehang University,Jiangxi Province,Nanehang 330008,China)

机构地区：[1]南昌大学第三附属医院超声医学科,江西南昌330008 [2]南昌大学第三附属医院妇产科,江西南昌330008 [3]南昌大学第三附属医院消化科,江西南昌330008

出　　处：《中国当代医药》2018年第27期86-88,共3页China Modern Medicine

基　　金：江西省南昌市指导性科技计划项目(20169634)

摘　　要：目的评价超声造影(CEUS)对比常规超声(US)及增强CT(CECT)在提高肝脏局灶性病变(FLL)诊断及鉴别诊断的价值。方法选取2014年1月～2017年12月我院收治的36例患者(40个FLL)分别同时给予US、CEUS及CECT检查,以病理结果 (手术或穿刺活检)为金标准,将三组检查结果与病理结果进行比较,比较三组检查的敏感度、特异度、准确度。结果以病理结果为金标准,US诊断FLL的敏感度、特异度、准确度分别为63.3%(19/30)、60.O%(6/10)、62.5%(25/40);CEUS诊断FLL的敏感度、特异度、准确度分别为93.3%(28/30)、80.0%(8/10)、90.0%(36/40)。CECT诊断FLL的敏感度、特异度、准确度分别为90.0%(27/30)、80.0%(8/10)、87.5%(35/40)。CEUS及CECT在诊断敏感度、准确度均明显优于US(P<0.05)。CEUS与CECT在FLL诊断FLL差异无统计学意义(P>0.05)。结论 CEUS与CECT在诊断FLL及良恶性鉴别诊断中均有较高的临床价值,均高于US检查。Objective To evaluate the value of contrast-enhanced ultrasound （CEUS） compared with conventional Ultra- sound （US） and enhanced CT （CECT） in the diagnosis and differential diagnosis of atypical hepatic focal lesions （FLL）. Methods In our hospital from January 2014 to December 2017, 36 patients with 40 FLL were respectively given US, CEUS and CECT examination, using pathological results as the gold standard, the test results of three groups were compared with pathological findings of test sensitivity, specificity, accuracy three groups was compared. Results With pathological results as the gold standard of US in the diagnosis of FLL the sensitivity, specificity and accuracy were 63.3% （19/30）, 60.0% （6/10）, 62.5% （25/40）; CEUS diagnosis of FLL the sensitivity, specificity and accuracy were 93.3% （28/30）, 80.0% （8/10）, 90.0% （36/40）. The sensitivity, specificity and accuracy of CECT in the diagnosis of FLL were 90.0% （27/30）, 80.0% （8/10）, and 87.5% （35/40）, respectively. The sensitivity and accuracy of CEUS and CECT in the diagno- sis of atypical FLL were significantly better than those of US （P〈0.05）. There was no significant difference between CEUS and CECT in the diagnosis of FLL（P〉0.05）. Conclusion CEUS and CECT have high clinical value in the differ- ential diagnosis of atypical FLLand benign and malignant lesions, which are all higher than those of US.

关 键 词：超声造影 肝脏肿瘤 增强CT 局灶性病灶 常规超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]